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Oregon rates for HCPCS L4080

Replace Metal Bands Kafo, Proximal Thigh

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.52 / $80.95 / $375.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.33 / $84.33 / $84.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.56 / $61.56 / $84.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.46 / $241.48 / $314.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.95 / $110.90 / $134.94
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.35 / $126.84 / $141.69
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.13 / $121.45 / $134.94
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.95 / $134.94 / $134.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.94 / $115.76 / $141.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.56 / $118.16 / $148.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.43 / $224.42 / $473.42
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.05 / $148.43 / $148.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.51 / $56.85 / $108.96