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Oregon rates for HCPCS L3649

Orthopedic shoe, modification, addition or transfer, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $11.00 / $16.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.12
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.40 / $10.40 / $10.40
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,105.71 / $1,105.71 / $79,999.20
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.71 / $1,105.71 / $1,105.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $2,400,000.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $2,250,000.00 / $2,400,000.00