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Oregon rates for HCPCS L5661

Addition to lower extremity, socket insert, multidurometer Symes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.44 / $444.23 / $2,604.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.40 / $456.40 / $456.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.17 / $333.17 / $456.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.29 / $1,546.84 / $2,017.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.23 / $614.50 / $749.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.09 / $686.59 / $766.93
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.78 / $713.29 / $803.45
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.78 / $730.41 / $766.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.23 / $635.25 / $766.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.17 / $639.57 / $803.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.53 / $1,214.64 / $2,562.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.15 / $803.45 / $803.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.00 / $360.00 / $360.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.14 / $364.39 / $695.21