go back

Oregon rates for HCPCS L5638

Addition To Lower Extremity Below Knee Leather Socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.85 / $402.71 / $2,247.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.81 / $503.81 / $503.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.78 / $367.78 / $461.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.50 / $1,237.20 / $1,613.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.71 / $551.71 / $662.14
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.33 / $622.41 / $695.25
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.60 / $662.14 / $778.81
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.92 / $662.14 / $778.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.71 / $575.88 / $695.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.78 / $579.79 / $728.35
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.66 / $1,101.11 / $2,322.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.44 / $728.35 / $728.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.77 / $388.77 / $388.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.42 / $291.41 / $555.96