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Oregon rates for HCPCS L5671

Addition To Lower Extremity Below Knee / Above Knee Suspension Locking Mechanism (Shuttle Lanyard Or Equal) Excludes Socket Insert

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.64 / $484.14 / $2,296.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.63 / $380.63 / $380.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.86 / $277.86 / $380.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.22 / $1,264.90 / $1,649.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.14 / $629.14 / $796.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.87 / $748.27 / $796.03
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$631.85 / $777.37 / $875.63
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.36 / $796.03 / $796.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.63 / $678.54 / $835.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.86 / $697.03 / $875.63
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.20 / $1,323.76 / $2,792.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.59 / $875.63 / $875.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.56 / $297.85 / $568.25