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Oregon rates for HCPCS L4370

Pneumatic Full Leg Splint Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.69 / $170.11 / $613.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.11 / $150.11 / $150.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.58 / $109.58 / $150.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.51 / $450.29 / $587.27
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.51 / $218.30 / $283.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.76 / $263.08 / $297.76
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.10 / $255.22 / $283.58
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.28 / $283.58 / $289.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.11 / $241.73 / $297.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.58 / $248.31 / $311.94
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.26 / $471.58 / $994.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.88 / $311.94 / $311.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.88 / $106.10 / $202.44