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Oregon rates for HCPCS L5500

Initial Below Knee Ptb Type Socket Non-Alignable System Pylon No Cover Sach Foot Plaster Socket Direct Formed

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.84 / $937.54 / $5,905.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$963.22 / $963.22 / $963.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.15 / $703.15 / $963.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.05 / $3,264.86 / $4,258.21
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$937.54 / $1,314.01 / $1,583.01
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,146.18 / $1,449.01 / $1,618.58
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.60 / $1,541.50 / $2,030.67
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,387.35 / $1,541.50 / $2,030.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$937.54 / $1,349.79 / $1,618.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.15 / $1,349.79 / $1,695.65
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,284.30 / $2,563.46 / $5,408.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,325.69 / $1,695.65 / $1,695.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.75 / $769.04 / $1,467.22