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Oregon rates for HCPCS L6692

Upper Extremity Addition Silicone Gel Insert Or Equal Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.79 / $408.22 / $2,582.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.41 / $419.41 / $419.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.17 / $306.17 / $419.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.85 / $1,421.85 / $1,854.46
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.22 / $559.26 / $689.04
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.07 / $630.94 / $671.21
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$532.79 / $671.21 / $839.80
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.09 / $671.21 / $839.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.22 / $587.73 / $704.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.17 / $587.73 / $738.33
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.21 / $1,116.20 / $2,354.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.24 / $738.33 / $738.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.93 / $334.86 / $638.87