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Oregon rates for HCPCS L7402

Addition To Upper Extremity Prosthesis Shoulder Disarticulation/Interscapular Thoracic Ultralight Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.83 / $265.54 / $1,259.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.35 / $318.35 / $318.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.40 / $232.40 / $318.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.62 / $846.57 / $1,104.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.54 / $372.16 / $436.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.62 / $410.40 / $458.43
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.94 / $436.60 / $497.43
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.84 / $346.84 / $346.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.54 / $382.31 / $458.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.40 / $382.31 / $480.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.76 / $726.06 / $1,531.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.48 / $480.26 / $480.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.47 / $199.36 / $380.35