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Oregon rates for HCPCS L5639

Addition To Lower Extremity Below Knee Wood Socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.00 / $922.45 / $5,176.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.50 / $870.50 / $870.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.47 / $635.47 / $870.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.69 / $2,850.09 / $3,717.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$922.45 / $1,263.76 / $1,516.70
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.73 / $1,425.70 / $1,592.54
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,203.93 / $1,516.70 / $1,794.25
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,365.03 / $1,516.70 / $1,794.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$809.03 / $1,305.40 / $1,592.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.47 / $1,328.08 / $1,668.37
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,263.63 / $2,522.21 / $5,321.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,304.35 / $1,668.37 / $1,668.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.41 / $671.35 / $1,314.14