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Oregon rates for HCPCS L6647

Upper Extremity Addition Shoulder Lock Mechanism Body Powered Actuator

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.04 / $372.09 / $1,765.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.51 / $405.51 / $405.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.02 / $296.02 / $405.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.26 / $1,186.05 / $1,546.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.09 / $509.76 / $611.79
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.89 / $575.09 / $642.39
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.63 / $611.79 / $672.98
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.03 / $611.79 / $642.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.09 / $525.46 / $642.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.02 / $535.71 / $672.98
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.71 / $1,017.38 / $2,146.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.15 / $672.98 / $672.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.91 / $279.36 / $532.99