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Oregon rates for HCPCS L4394

Replace Soft Interface Material, Foot Drop Splint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.89 / $11.89 / $57.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.40 / $13.40 / $13.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $13.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.87 / $39.06 / $50.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.89 / $16.29 / $19.82
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.74 / $18.63 / $20.81
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.75 / $19.82 / $21.80
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.84 / $19.82 / $20.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.89 / $17.03 / $20.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $17.36 / $21.80
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.52 / $32.97 / $69.55
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.05 / $21.80 / $21.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.11 / $9.11 / $9.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.66 / $9.19 / $18.01