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Oregon rates for HCPCS L7400

Addition To Upper Extremity Prosthesis Below Elbow Elbow/Wrist Disarticulation Ultralight Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.16 / $219.64 / $1,041.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.35 / $239.35 / $239.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.73 / $174.73 / $174.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.79 / $700.27 / $913.34
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.64 / $307.83 / $361.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.52 / $339.46 / $379.19
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.02 / $361.13 / $411.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.64 / $316.22 / $379.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.73 / $316.22 / $397.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.88 / $600.55 / $1,266.97
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.57 / $397.24 / $397.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.55 / $164.90 / $314.60