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Oregon rates for HCPCS L5530

Preparatory, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, thermoplastic or equal, molded to model

Facilitymedian $2,291 · 10th–90th $1,820–$2,3990%50%10th90th$2,291Professionalmedian $1,479 · 10th–90th $912–$2,6920%10%10th90th$1,479$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,479.11 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,258.93 / $2,089.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,288.25 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $954.99 / $954.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $4,570.88 / $5,623.41
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,819.70 / $2,454.71
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $1,949.84 / $2,630.27
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,344.23 / $2,398.83
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,398.83 / $2,398.83
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,995.26 / $2,691.53
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $2,089.30 / $2,570.40
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $3,801.89 / $9,549.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $2,691.53 / $2,691.53
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,548.82 / $3,388.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,023.29 / $1,995.26