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Oregon rates for HCPCS L5400

Immediate Post Surgical Or Early Fitting Application Of Initial Rigid Dressing Including Fitting Alignment Suspension And One Cast Change Below Knee

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.84 / $976.20 / $5,495.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$902.63 / $902.63 / $902.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.92 / $658.92 / $902.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,123.56 / $3,059.61 / $3,990.51
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$976.20 / $1,337.39 / $1,605.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,193.44 / $1,508.78 / $1,685.33
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,274.08 / $1,472.98 / $1,620.28
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,444.57 / $1,605.08 / $1,620.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$902.63 / $1,395.97 / $1,685.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.92 / $1,405.46 / $1,765.59
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,337.26 / $2,669.18 / $5,631.12
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.37 / $1,765.59 / $1,765.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.54 / $720.66 / $1,381.27