go back

Oregon rates for HCPCS L5585

Preparatory, above knee (AK), knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, prefabricated adjustable open end socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,487.61 / $2,107.19 / $9,593.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,571.77 / $2,571.77 / $2,571.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,877.39 / $1,877.39 / $2,571.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,425.28 / $6,504.87 / $8,483.99
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,107.19 / $2,886.86 / $3,464.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,576.12 / $3,256.80 / $3,637.91
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,750.18 / $3,392.36 / $3,811.15
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,118.21 / $3,464.68 / $3,811.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,107.19 / $2,975.66 / $3,637.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,877.39 / $3,033.80 / $3,811.15
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,886.58 / $5,761.64 / $12,155.22
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,979.62 / $3,811.15 / $3,811.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,463.74 / $1,532.03 / $2,936.40