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Oregon rates for HCPCS L8020

Breast prosthesis, mastectomy form

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.55 / $175.86 / $723.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.64 / $170.64 / $170.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.57 / $124.57 / $170.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.88 / $509.94 / $665.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.86 / $240.93 / $289.17
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.01 / $271.82 / $303.63
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.54 / $260.25 / $289.17
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.78 / $274.70 / $289.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.10 / $240.93 / $318.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.57 / $253.20 / $318.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.91 / $480.86 / $1,014.47
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.69 / $318.08 / $318.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.77 / $120.12 / $229.18