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Oregon rates for HCPCS L6915

Hand Restoration (Shading And Measurements Included) Replacement Glove For Above

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.69 / $530.04 / $2,796.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.36 / $644.36 / $644.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.38 / $470.38 / $644.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.05 / $1,591.60 / $2,075.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.04 / $726.17 / $871.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.00 / $819.23 / $915.10
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.79 / $784.37 / $871.52
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.79 / $871.52 / $871.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.04 / $757.97 / $915.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.38 / $763.13 / $958.67
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.09 / $1,589.28 / $3,341.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.51 / $958.67 / $958.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.14 / $374.86 / $715.17