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Oregon rates for HCPCS L8415

Prosthetic Sheath Upper Limb Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.15 / $19.82 / $82.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $16.30 / $16.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.91 / $11.91 / $16.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.81 / $54.69 / $71.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.82 / $26.73 / $32.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $30.23 / $32.58
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.88 / $29.32 / $32.58
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.41 / $30.95 / $32.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $27.39 / $34.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.91 / $28.53 / $35.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.15 / $54.20 / $114.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.02 / $35.84 / $35.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.26 / $12.83 / $24.49