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Oregon rates for HCPCS L6625

Upper Extremity Addition Rotation Wrist Unit With Cable Lock

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.39 / $449.56 / $2,455.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.94 / $412.94 / $412.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.45 / $301.45 / $412.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.41 / $1,352.26 / $1,763.67
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.56 / $615.90 / $739.16
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.60 / $694.81 / $776.12
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.74 / $665.24 / $739.16
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.29 / $665.24 / $739.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.78 / $634.85 / $776.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.45 / $647.24 / $813.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.83 / $1,229.20 / $2,593.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.67 / $813.08 / $813.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.27 / $318.47 / $607.59