go back

Oregon rates for HCPCS L5642

Addition to lower extremity, above knee (AK), leather socket

Facilitymedian $977 · 10th–90th $741$1,0000%20%10th90th$977Professionalmedian $603 · 10th–90th $331$1,1220%10%10th90th$603$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $602.56
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $446.68 / $691.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $389.05 / $389.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $1,659.59 / $2,041.74
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $758.58 / $1,000.00
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $794.33 / $1,122.02
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $977.24 / $1,000.00
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,000.00 / $1,096.48
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $758.58 / $1,122.02
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $831.76 / $1,047.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $1,584.89 / $3,890.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,122.02 / $1,122.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $562.34 / $1,202.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $371.54 / $707.95