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Oregon rates for HCPCS L5656

Addition To Lower Extremity Socket Insert Knee Disarticulation (Kemblo Pelite Aliplast Plastazote Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.05 / $361.04 / $1,712.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.84 / $335.84 / $335.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.16 / $245.16 / $335.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.55 / $943.17 / $1,230.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.04 / $457.38 / $593.64
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.39 / $558.02 / $623.32
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.67 / $505.38 / $593.64
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.44 / $534.28 / $593.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.13 / $506.02 / $623.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.16 / $519.80 / $653.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.58 / $987.20 / $2,082.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.53 / $653.00 / $653.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.21 / $222.12 / $423.77