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Oregon rates for HCPCS L4392

Replacement Soft Interface Material Static Afo

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.18 / $16.32 / $78.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.80 / $15.80 / $15.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $11.53 / $15.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $53.27 / $69.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.32 / $22.36 / $27.21
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.23 / $25.85 / $28.57
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.60 / $27.21 / $29.93
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.62 / $27.21 / $28.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.80 / $23.38 / $28.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $23.83 / $29.93
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.67 / $45.24 / $95.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.40 / $29.93 / $29.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.87 / $12.61 / $24.07