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Oregon rates for HCPCS L3640

Transfer of an orthosis from one shoe to another, Dennis Browne splint (Riveton), both shoes

Facilitymedian $50 · 10th–90th $39–$510%50%10th90th$50Professionalmedian $30 · 10th–90th $22–$580%10%20%10th90th$30$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $26.92 / $38.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $102.33 / $125.89
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $38.90 / $51.29
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $40.74 / $54.95
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $50.12 / $51.29
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $51.29 / $56.23
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $41.69 / $60.26
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $47.86 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $81.28 / $199.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $57.54 / $57.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $29.51 / $75.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $23.44 / $44.67