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Oregon rates for HCPCS L5631

Addition To Lower Extremity Above Knee Or Knee Disarticulation Acrylic Socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.47 / $320.74 / $1,521.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.53 / $329.53 / $329.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.56 / $240.56 / $329.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.15 / $1,117.18 / $1,457.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.74 / $439.41 / $541.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.11 / $489.25 / $553.73
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.61 / $515.00 / $580.10
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.62 / $527.36 / $527.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.05 / $461.77 / $553.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.56 / $461.77 / $580.10
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.37 / $876.98 / $1,850.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.53 / $580.10 / $580.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.36 / $263.08 / $501.95