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Oregon rates for HCPCS L5250

Hip Disarticulation Canadian Type; Molded Socket Hip Joint Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,697.98 / $4,672.35 / $23,957.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,366.38 / $4,366.38 / $4,366.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,187.46 / $3,187.46 / $4,366.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,377.62 / $13,190.84 / $17,204.16
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,672.35 / $6,393.67 / $7,682.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,712.09 / $7,221.37 / $8,066.43
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,098.04 / $7,639.11 / $8,450.54
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,914.08 / $7,682.31 / $7,989.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,058.02 / $6,548.52 / $8,066.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,187.46 / $6,726.90 / $8,450.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,400.48 / $12,775.40 / $26,952.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,606.79 / $8,450.54 / $8,450.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,968.33 / $3,106.84 / $5,927.44