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Oregon rates for HCPCS L5200

Above Knee Molded Socket Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,874.35 / $2,973.55 / $13,897.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,728.17 / $2,728.17 / $2,728.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,991.56 / $1,991.56 / $2,728.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,422.38 / $8,398.29 / $10,953.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,973.55 / $4,071.13 / $4,889.12
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,635.26 / $4,595.77 / $5,133.58
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,872.04 / $4,361.47 / $4,889.12
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,964.97 / $4,644.66 / $4,889.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,638.22 / $4,167.57 / $5,133.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,991.56 / $4,281.09 / $5,378.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.35 / $8,130.44 / $17,152.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,204.64 / $5,378.03 / $5,378.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,889.89 / $1,978.08 / $3,773.92