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Oregon rates for HCPCS L5645

Addition To Lower Extremity Below Knee Flexible Inner Socket External Frame

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.89 / $582.45 / $3,127.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.09 / $694.09 / $694.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.69 / $506.69 / $694.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.36 / $2,028.37 / $2,645.51
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.45 / $816.33 / $985.05
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.06 / $900.20 / $1,005.54
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.18 / $957.66 / $1,276.88
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.66 / $957.66 / $1,276.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.45 / $838.56 / $1,005.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.69 / $838.56 / $1,053.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$797.87 / $1,592.56 / $3,359.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$823.59 / $1,053.43 / $1,053.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.47 / $477.77 / $911.52