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Oregon rates for HCPCS L6882

Microprocessor Control Feature Addition To Upper Limb Prosthetic Terminal Device (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,630.71 / $2,222.34 / $10,542.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.80 / $2,264.80 / $2,264.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.30 / $1,653.30 / $2,264.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,557.79 / $7,083.69 / $9,238.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,222.34 / $3,044.61 / $3,653.99
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,716.87 / $3,434.75 / $3,836.69
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,288.59 / $3,653.99 / $4,163.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,222.34 / $3,138.26 / $3,836.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.30 / $3,199.56 / $4,019.39
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.30 / $6,076.44 / $12,819.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,142.43 / $4,019.39 / $4,019.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,594.09 / $1,668.47 / $3,183.24