go back

Oregon rates for HCPCS L4110

Replace Leather Cuff Kafo-Afo, Calf Or Distal Thigh

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.77 / $76.41 / $367.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.81 / $61.81 / $61.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.12 / $45.12 / $61.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.17 / $202.42 / $263.99
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.43 / $98.01 / $127.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.72 / $119.74 / $133.75
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.53 / $108.27 / $127.38
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.80 / $114.64 / $127.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.81 / $104.68 / $133.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.12 / $111.54 / $140.12
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.13 / $211.84 / $446.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.55 / $140.12 / $140.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.53 / $47.66 / $90.93