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Oregon rates for HCPCS L5616

Addition To Lower Extremity Endoskeletal System Above Knee Universal Multiplex System Friction Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.84 / $991.43 / $4,887.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.60 / $1,018.60 / $1,018.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.58 / $743.58 / $1,018.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,141.08 / $3,453.07 / $4,503.66
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$991.43 / $1,389.54 / $1,630.12
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,212.06 / $1,532.31 / $1,711.63
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,293.95 / $1,630.12 / $2,140.48
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,467.11 / $1,630.12 / $2,140.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$991.43 / $1,427.39 / $1,711.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.58 / $1,427.39 / $1,793.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,358.13 / $2,710.84 / $5,718.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,401.90 / $1,793.13 / $1,793.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.99 / $813.25 / $1,558.73