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Oregon rates for HCPCS L5624

Addition To Lower Extremity Test Socket Above Knee

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.04 / $274.94 / $1,439.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.77 / $311.77 / $311.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.60 / $227.60 / $311.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.45 / $924.00 / $1,205.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.94 / $376.67 / $452.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.13 / $424.95 / $474.67
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.84 / $437.72 / $481.49
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.86 / $452.07 / $452.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.94 / $393.16 / $474.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.60 / $395.84 / $497.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.63 / $751.76 / $1,585.97
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.78 / $497.28 / $497.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.99 / $217.69 / $415.33