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Oregon rates for HCPCS L5613

Addition To Lower Extremity Endoskeletal System Above Knee- Knee Disarticulation 4 Bar Linkage With Hydraulic Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,309.85 / $1,788.97 / $11,315.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.78 / $1,902.78 / $1,902.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.03 / $1,389.03 / $1,902.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,059.00 / $6,230.72 / $8,126.43
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,788.97 / $2,463.73 / $2,941.43
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.06 / $2,728.87 / $3,088.50
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,647.29 / $2,941.43 / $3,823.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,768.40 / $2,575.62 / $3,088.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.03 / $2,575.62 / $3,235.57
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,450.64 / $4,891.50 / $10,319.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,529.63 / $3,235.57 / $3,235.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,402.03 / $1,467.45 / $2,799.70