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Oregon rates for HCPCS L3980

Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.50 / $204.70 / $1,269.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.50 / $229.50 / $229.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.54 / $167.54 / $229.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.57 / $721.58 / $941.12
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.44 / $290.51 / $349.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.40 / $320.36 / $340.81
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.52 / $332.82 / $374.89
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.74 / $340.81 / $340.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.44 / $298.43 / $357.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.54 / $298.43 / $374.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.95 / $566.76 / $1,195.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.10 / $374.89 / $374.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.80 / $170.03 / $324.39