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Oregon rates for HCPCS L5642

Addition To Lower Extremity Above Knee Leather Socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.17 / $603.03 / $2,145.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.41 / $530.41 / $530.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.20 / $387.20 / $530.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.06 / $1,575.26 / $2,054.53
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.50 / $763.29 / $991.51
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.22 / $932.02 / $1,041.08
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$787.04 / $968.27 / $1,090.66
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.04 / $991.51 / $991.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.75 / $826.15 / $1,041.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.20 / $868.20 / $1,090.66
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$826.07 / $1,648.84 / $3,478.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.70 / $1,090.66 / $1,090.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.45 / $370.99 / $707.80