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Oregon rates for HCPCS L5624

Addition to lower extremity, test socket, above knee (AK)

Facilitymedian $437 · 10th–90th $339$4570%20%10th90th$437Professionalmedian $295 · 10th–90th $200$5130%10%10th90th$295$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$263.03
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$977.24
Typical High
$1,174.90
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$338.84
Typical High
$489.78
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$363.08
Typical High
$512.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$436.52
Typical High
$457.09
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$457.09
Typical High
$457.09
Providence
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$389.05
Typical High
$575.44
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$398.11
Typical High
$478.63
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$724.44
Typical High
$1,778.28
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$512.86
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$331.13
Typical High
$707.95
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$218.78
Typical High
$416.87