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Oregon rates for HCPCS L5665

Addition To Lower Extremity Socket Insert Multi-Durometer Below Knee

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.25 / $373.77 / $2,364.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.18 / $452.18 / $452.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.09 / $330.09 / $452.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.19 / $1,301.82 / $1,697.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.77 / $523.85 / $631.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.94 / $577.67 / $614.54
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.81 / $600.15 / $676.01
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.10 / $614.54 / $676.01
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.77 / $538.12 / $645.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.09 / $538.12 / $676.01
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.01 / $1,021.98 / $2,156.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.51 / $676.01 / $676.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$983.28 / $983.28 / $1,311.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.93 / $306.58 / $584.94