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Oregon rates for HCPCS L4030

Replace Quadrilateral Socket Brim, Custom Fitted

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.84 / $446.53 / $2,188.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.88 / $477.88 / $477.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.85 / $348.85 / $450.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.07 / $1,204.53 / $1,571.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.26 / $584.35 / $744.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.49 / $699.73 / $781.61
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.47 / $625.67 / $744.39
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.79 / $744.39 / $744.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.26 / $634.54 / $781.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.85 / $651.80 / $818.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.17 / $1,237.88 / $2,611.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.17 / $818.83 / $818.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.11 / $283.76 / $541.39