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Oregon rates for HCPCS L6694

Addition To Upper Extremity Prosthesis Below Elbow/Above Elbow Custom

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.74 / $522.90 / $2,713.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.74 / $528.74 / $528.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.98 / $385.98 / $528.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.83 / $1,698.84 / $2,215.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.90 / $732.86 / $859.76
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.26 / $816.77 / $859.76
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.78 / $859.76 / $1,000.34
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.99 / $682.99 / $682.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.90 / $752.83 / $902.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.98 / $752.83 / $945.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.30 / $1,429.74 / $3,016.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.39 / $945.74 / $945.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.28 / $400.12 / $783.22