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Oregon rates for HCPCS L5672

Addition To Lower Extremity Below Knee Removable Medial Brim Suspension

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.05 / $235.56 / $1,091.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.81 / $297.81 / $297.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.40 / $217.40 / $297.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.12 / $757.81 / $988.37
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.56 / $322.72 / $387.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.97 / $364.07 / $406.68
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.44 / $387.31 / $477.20
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.58 / $387.31 / $477.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.56 / $336.85 / $406.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.40 / $339.14 / $426.04
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.68 / $644.08 / $1,358.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.09 / $426.04 / $426.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.59 / $178.55 / $340.65