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Oregon rates for HCPCS L5648

Addition To Lower Extremity Above Knee Air Fluid Gel Or Equal Cushion Socket. (Rvsdf 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.35 / $480.60 / $2,279.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.44 / $589.44 / $589.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.29 / $430.29 / $589.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.15 / $1,673.97 / $2,183.27
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.60 / $658.42 / $811.55
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.54 / $733.11 / $790.21
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.25 / $790.21 / $1,053.60
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.68 / $790.21 / $1,053.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.60 / $691.93 / $829.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.29 / $691.93 / $869.23
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.36 / $1,314.10 / $2,772.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.58 / $869.23 / $869.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.65 / $394.23 / $752.13