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Oregon rates for HCPCS L4100

Replace Leather Cuff Kafo, Proximal Thigh

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.09 / $93.98 / $452.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.43 / $73.43 / $73.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.60 / $53.60 / $73.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.68 / $248.58 / $324.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.50 / $120.29 / $156.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.49 / $147.28 / $156.68
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.76 / $129.26 / $156.68
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.51 / $156.68 / $156.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.56 / $128.75 / $164.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.60 / $137.19 / $172.35
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.53 / $260.56 / $549.66
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.74 / $172.35 / $172.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.78 / $58.63 / $111.85