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Oregon rates for HCPCS L6715

Terminal Device Multiple Articulating Digit Includes Motor(S) Initial Issue Or Replacement (Reinstated Code Previous Description Was Terminal Device Hook Dorrance Or Equal Model # 5xa (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,859.38 / $2,417.42 / $10,733.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,381.07 / $2,381.07 / $2,381.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,738.18 / $1,738.18 / $2,381.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,603.98 / $7,213.67 / $9,408.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,262.46 / $3,099.58 / $3,719.97
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,765.94 / $3,533.97 / $3,905.97
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,632.78 / $3,719.97 / $4,246.93
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,719.97 / $3,719.97 / $3,719.97
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,262.46 / $3,235.33 / $3,719.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,738.18 / $3,257.33 / $4,091.97
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,099.27 / $6,186.16 / $13,050.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,199.17 / $4,091.97 / $4,091.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,623.28 / $1,699.03 / $3,241.53