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Oregon rates for HCPCS L7401

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.43 / $245.89 / $1,166.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.94 / $267.94 / $267.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.60 / $195.60 / $267.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.01 / $784.09 / $1,022.64
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.89 / $344.62 / $404.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.60 / $380.04 / $424.52
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.87 / $404.30 / $460.66
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.17 / $321.17 / $321.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.89 / $354.01 / $424.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.60 / $354.01 / $444.73
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.83 / $672.32 / $1,418.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.70 / $444.73 / $444.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.37 / $184.60 / $352.20