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Oregon rates for HCPCS L5100

Below knee (BK), molded socket, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,251.31 / $2,039.58 / $9,310.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,743.07 / $1,743.07 / $1,743.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.44 / $1,272.44 / $1,743.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,347.44 / $5,908.99 / $7,706.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,039.58 / $2,794.22 / $3,353.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,493.46 / $3,152.29 / $3,521.18
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,661.94 / $3,018.15 / $3,353.50
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,664.07 / $3,185.83 / $3,353.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,743.07 / $2,863.82 / $3,521.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.44 / $2,936.44 / $3,688.85
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,793.95 / $5,576.74 / $11,765.14
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.01 / $3,688.85 / $3,688.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,329.63 / $1,391.68 / $2,655.13