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Oregon rates for HCPCS L5020

Partial Foot Molded Socket Tibial Tubercle Height With Toe Filler (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.30 / $1,648.14 / $9,150.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,486.28 / $1,486.28 / $1,486.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.98 / $1,084.98 / $1,486.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,896.91 / $5,038.28 / $6,571.17
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,648.14 / $2,257.94 / $2,709.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,014.89 / $2,547.28 / $2,845.36
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,151.03 / $2,709.87 / $2,980.86
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,438.88 / $2,709.87 / $2,812.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,486.28 / $2,327.40 / $2,845.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.98 / $2,372.86 / $2,980.86
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,257.71 / $4,506.42 / $9,507.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,330.48 / $2,980.86 / $2,980.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,428.89 / $1,428.89 / $1,428.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,116.99 / $1,186.65 / $2,263.96