go back

Oregon rates for HCPCS L5679

Addition To Lower Extremity Below Knee/Above Kneecustom Fabricated Fromexisting Mold Or Prefabric Ated Socket Insert Silicone Gel Elastomeric Or Equal Not For Use With Locking Mechanism

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.10 / $435.74 / $2,261.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.05 / $440.05 / $440.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.24 / $321.24 / $440.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.51 / $1,415.46 / $1,846.12
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.74 / $596.96 / $716.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.71 / $673.45 / $752.26
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.70 / $716.44 / $788.08
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.79 / $716.44 / $788.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.74 / $623.11 / $752.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.24 / $627.34 / $788.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.90 / $1,191.42 / $2,513.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.14 / $788.08 / $788.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.56 / $333.42 / $636.13