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Oregon rates for HCPCS L3956

Addition Of Joint To Upper Extremity Orthosis Any Material; Per Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.84 / $22.84 / $22.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.66 / $17.66 / $52.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.66 / $18.54 / $48.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.39 / $179.39 / $79,999.20
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.39 / $179.39 / $179.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.66 / $17.66 / $48.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $2,250,000.00 / $2,400,000.00