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Oregon rates for HCPCS L5617

Addition To Lower Extremity Quick Change Self-Aligning Unit Above Knee Or Below Knee Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.20 / $400.95 / $1,902.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.96 / $436.96 / $436.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.98 / $318.98 / $436.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.47 / $1,286.19 / $1,677.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.95 / $549.29 / $659.24
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.17 / $619.69 / $692.20
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.29 / $659.24 / $725.16
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.32 / $659.24 / $685.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.95 / $566.21 / $692.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.98 / $577.26 / $725.16
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.25 / $1,096.30 / $2,312.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.95 / $725.16 / $725.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.45 / $302.95 / $580.66