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Oregon rates for HCPCS L8030

Breast prosthesis, silicone or equal, without integral adhesive

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.48 / $230.30 / $1,322.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $296.00 / $296.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.08 / $216.08 / $296.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.99 / $801.84 / $1,045.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.30 / $320.99 / $389.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.54 / $355.93 / $397.58
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.56 / $378.65 / $427.28
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.79 / $378.65 / $427.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.30 / $320.99 / $416.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.08 / $331.57 / $416.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.48 / $629.70 / $1,328.47
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.64 / $416.52 / $416.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.49 / $188.91 / $360.41