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Oregon rates for HCPCS L5654

Addition to lower extremity, socket insert, Symes, (Kemblo, Pelite, Aliplast, Plastazote or equal)

Facilitymedian $407 · 10th–90th $347$4680%20%40%10th90th$407Professionalmedian $282 · 10th–90th $178$5250%10%10th90th$282$100.0$500.0$2.0K$10.0K

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
$281.84 / $281.84 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $239.88 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $223.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $891.25 / $1,071.52
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $354.81 / $478.63
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $371.54 / $512.86
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $457.09 / $467.74
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $416.87 / $467.74
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $389.05 / $562.34
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $398.11 / $489.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $741.31 / $1,819.70
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $524.81 / $524.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $302.00 / $645.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $199.53 / $380.19