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Oregon rates for HCPCS L5637

Addition to lower extremity, below knee (BK), total contact

Rates data updated July 2026.

How much does HCPCS L5637 cost?

$282

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $282 for this service. The price depends on where it is billed: about $269 from a physician practice, and about $347 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$269$209 to $347
FacilityA hospital or hospital-owned outpatient department$347$282 to $355

How much rates vary

Facilitymedian $347 · 10th to 90th $269 to $355Professionalmedian $269 · 10th to 90th $170 to $398
$100$200$500$1K$2Kfacility $347professional $269

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$208.93
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$758.58
Typical High
$933.25
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$269.15
Typical High
$380.19
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$288.40
Typical High
$398.11
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$346.74
Typical High
$354.81
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$354.81
Typical High
$389.05
Providence
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$309.03
Typical High
$467.74
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$316.23
Typical High
$380.19
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$371.54
Typical High
$1,412.54
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$398.11
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$0.28
Median
$229.09
Typical High
$562.34
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$173.78
Typical High
$331.13

Where Oregon sits

The same service costs 2.7 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Oregon· 13th of 51

$282

HI $490DE $182

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.