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Oregon rates for HCPCS L6641

Upper Extremity Addition Excursion Amplifier Pulley Type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.42 / $125.36 / $695.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.98 / $126.98 / $126.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.70 / $92.70 / $126.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.28 / $407.66 / $531.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.36 / $172.50 / $206.12
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.25 / $193.75 / $216.43
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.60 / $193.74 / $213.11
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.51 / $206.12 / $206.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.36 / $179.26 / $216.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.70 / $180.49 / $226.73
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.73 / $342.78 / $723.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.26 / $226.73 / $226.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.51 / $120.51 / $120.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.78 / $96.06 / $188.03