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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
$16.98 / $22.91 / $22.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $21.88 / $47.86
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
$17.78 / $17.78 / $33.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $52.48
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $17.78 / $28.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $15.85 / $79.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33