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Oregon rates for HCPCS L5637

Addition To Lower Extremity Below Knee Total Contact

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.22 / $217.33 / $1,328.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.98 / $232.98 / $232.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.08 / $170.08 / $232.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.12 / $734.36 / $957.79
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.33 / $297.74 / $365.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.70 / $335.88 / $375.19
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.64 / $346.74 / $393.05
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.72 / $357.32 / $393.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.33 / $310.77 / $375.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.08 / $312.89 / $393.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.70 / $594.24 / $1,253.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.30 / $393.05 / $393.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.27 / $172.98 / $330.03