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Oregon rates for HCPCS L5694

Addition To Lower Extremity Above Knee Pelvic Control Belt Padded And Lined

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.33 / $175.88 / $837.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.85 / $140.85 / $140.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.82 / $102.82 / $140.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.43 / $460.93 / $601.16
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.31 / $223.49 / $289.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.02 / $271.83 / $303.64
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.55 / $260.27 / $289.19
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.74 / $289.19 / $289.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.85 / $240.96 / $303.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.82 / $253.22 / $318.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.93 / $480.90 / $1,014.55
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.70 / $318.11 / $318.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.79 / $108.63 / $207.25