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Oregon rates for HCPCS Q4051

Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.68 / $12.68 / $12.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $12.68 / $32.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.50 / $8.50 / $8.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $175.00 / $194.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.50 / $7.50 / $7.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,910.16 / $17,150.38 / $18,772.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.75 / $64.75 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.50 / $2,400,000.00 / $2,400,000.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.50 / $2,250,000.00 / $2,400,000.00