go back

Oregon rates for HCPCS L4010

Replace Trilateral Socket Brim

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.10 / $540.89 / $2,908.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.01 / $626.01 / $626.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.99 / $456.99 / $626.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.17 / $1,601.53 / $2,088.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.89 / $741.02 / $901.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.44 / $847.58 / $946.76
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.74 / $819.58 / $901.68
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.43 / $856.60 / $901.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.89 / $773.47 / $946.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.99 / $789.55 / $991.85
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.24 / $1,499.48 / $3,163.41
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.44 / $991.85 / $991.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.06 / $377.20 / $719.64