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Oregon rates for HCPCS L6624

Upper Extremi Addi, Flexion/Extens And Rotation Wrist Unit

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,980.35 / $2,698.88 / $12,803.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,941.06 / $2,941.06 / $2,941.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,146.96 / $2,146.96 / $2,146.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,106.26 / $8,602.85 / $11,220.27
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,223.21 / $3,782.60 / $4,437.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,299.46 / $4,215.64 / $4,659.39
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,993.77 / $4,437.52 / $5,056.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,698.88 / $3,885.65 / $4,659.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,146.96 / $3,885.65 / $4,881.27
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,697.10 / $7,379.44 / $15,568.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,816.27 / $4,881.27 / $4,881.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,935.91 / $2,026.24 / $3,865.80