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Oregon rates for HCPCS L5653

Addition To Lower Extremity Knee Disarticulation Expandable Wall Socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.63 / $522.15 / $2,256.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.76 / $555.76 / $555.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.70 / $405.70 / $555.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.97 / $1,479.37 / $1,929.49
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.15 / $715.35 / $858.53
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.34 / $807.02 / $858.53
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.48 / $858.53 / $944.38
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.68 / $858.53 / $931.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.85 / $731.82 / $901.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.70 / $751.76 / $944.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.28 / $1,427.70 / $3,012.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.34 / $944.38 / $944.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.95 / $348.49 / $667.94