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Oregon rates for HCPCS L6628

Upper Extremity Addition Quick Disconnect Hook Adapter Otto Bock Or Equal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.10 / $422.17 / $1,658.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.49 / $444.49 / $444.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.48 / $324.48 / $444.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.90 / $1,218.03 / $1,588.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.17 / $578.37 / $694.14
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.14 / $652.49 / $694.14
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.01 / $694.14 / $766.63
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.73 / $694.14 / $766.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.10 / $591.71 / $728.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.48 / $607.80 / $763.55
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.32 / $1,154.33 / $2,435.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.96 / $763.55 / $763.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.00 / $108.00 / $108.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.06 / $286.85 / $547.27