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Oregon rates for HCPCS L7405

Addition To Upper Extremity Prosthesis Shoulder Disarticulation/Interscapular Thoracic Acrylic Material

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.24 / $520.94 / $2,471.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.54 / $624.54 / $624.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.91 / $455.91 / $624.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.55 / $1,660.48 / $2,165.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.94 / $730.11 / $856.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.86 / $805.13 / $899.35
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.89 / $856.52 / $942.17
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$770.87 / $856.52 / $887.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.94 / $750.00 / $899.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.91 / $750.00 / $942.17
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.61 / $1,424.38 / $3,004.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.61 / $942.17 / $942.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.66 / $391.10 / $746.16