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Oregon rates for HCPCS L6642

Upper Extremity Addition Excursion Amplifier Lever Type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.07 / $169.53 / $902.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.10 / $225.10 / $225.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.32 / $164.32 / $225.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.11 / $552.54 / $720.67
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.53 / $233.91 / $278.73
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.27 / $262.01 / $292.67
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.28 / $260.99 / $287.08
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.86 / $278.73 / $278.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.53 / $242.43 / $292.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.32 / $244.07 / $306.60
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.23 / $463.54 / $977.89
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.71 / $306.60 / $306.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.06 / $172.06 / $172.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.40 / $130.21 / $249.56