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Oregon rates for HCPCS L3650

Shoulder Orthosis Figure Of Eight Design Abduction Restrainer Prefabricated Off-The-Shelf(Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.00 / $40.85 / $195.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.70 / $46.70 / $46.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.09 / $34.09 / $46.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.78 / $138.49 / $180.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.81 / $57.28 / $69.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.81 / $65.51 / $73.17
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.31 / $65.38 / $71.92
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.36 / $69.69 / $69.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.81 / $59.79 / $73.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.09 / $61.03 / $76.66
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.07 / $115.90 / $244.52
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.93 / $76.66 / $76.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.62 / $104.62 / $139.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.16 / $32.61 / $62.23