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Oregon rates for HCPCS L3650

Shoulder orthosis (SO), figure of eight design abduction restrainer, prefabricated, off-the-shelf

Facilitymedian $66 · 10th–90th $52$690%50%10th90th$66Professionalmedian $44 · 10th–90th $32$1170%10%20%10th90th$44$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
$40.74 / $40.74 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $38.90 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $144.54 / $173.78
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $52.48 / $75.86
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $54.95 / $77.62
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $67.61 / $69.18
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $66.07 / $69.18
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $60.26 / $89.13
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $66.07 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $109.65 / $275.42
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $77.62 / $77.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $43.65 / $107.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $32.36 / $61.66