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Oregon rates for HCPCS L7403

Addition To Upper Extremity Prosthesis Below Elbow/Wrist Disarticulation Acrylic Material

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.66 / $263.89 / $1,251.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.80 / $286.80 / $286.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.36 / $209.36 / $209.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.73 / $840.89 / $1,096.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.89 / $369.88 / $433.90
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.44 / $407.87 / $455.60
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.43 / $433.90 / $477.29
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.51 / $433.90 / $449.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.89 / $379.94 / $455.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.36 / $379.94 / $477.29
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.50 / $721.56 / $1,522.27
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.15 / $477.29 / $477.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.30 / $198.13 / $378.01