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Oregon rates for HCPCS L5629

Addition To Lower Extremity Below Knee Acrylic Socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.25 / $231.99 / $1,100.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.05 / $248.05 / $248.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.08 / $181.08 / $248.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.00 / $808.23 / $1,054.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.99 / $317.83 / $391.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.61 / $353.87 / $400.50
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.76 / $372.49 / $419.57
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.29 / $381.43 / $381.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.32 / $333.99 / $400.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.08 / $333.99 / $419.57
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.79 / $634.32 / $1,338.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.03 / $419.57 / $419.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.81 / $190.30 / $363.05