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Oregon rates for HCPCS L5595

Preparatory Hip Disarticulation-Hemipelvectomy Pylon No Cover Sach Foot Thermoplastic Or Equal Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,208.32 / $3,295.29 / $18,591.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,578.08 / $3,578.08 / $3,578.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,612.00 / $2,612.00 / $3,578.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,792.69 / $10,236.34 / $13,350.76
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,295.29 / $4,514.55 / $5,418.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,028.60 / $5,093.04 / $5,689.04
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,300.80 / $4,876.32 / $5,418.13
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,605.41 / $5,418.13 / $5,418.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,295.29 / $4,653.46 / $5,689.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,612.00 / $4,744.31 / $5,959.94
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,514.09 / $9,010.16 / $19,008.55
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,659.59 / $5,959.94 / $5,959.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,303.53 / $2,411.02 / $4,599.89