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Oregon rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Insurance Carrier
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.10 / $75.00 / $77.73
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.65 / $55.61 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400,000.00 / $2,400,000.00 / $2,400,000.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,250,000.00 / $2,250,000.00 / $2,400,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00