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Oregon rates for HCPCS L5640

Addition to lower extremity, knee disarticulation, leather socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.50 / $610.92 / $2,686.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.20 / $572.20 / $572.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.71 / $417.71 / $572.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.14 / $1,625.69 / $2,120.29
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.91 / $787.79 / $1,004.49
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.89 / $944.22 / $1,054.71
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$797.36 / $999.32 / $1,125.63
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.36 / $1,004.49 / $1,125.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.78 / $856.26 / $1,054.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.71 / $879.57 / $1,104.94
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$836.89 / $1,670.44 / $3,524.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.86 / $1,104.94 / $1,104.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.81 / $382.88 / $749.49