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Oregon rates for HCPCS L5683

Addition To Lower Extremity Below Knee/Above Knee Custom Fabricated Socket Insert For Other Than Congenital Or Atypical Traumatic Amputee Siliconegel Elastomeric Or Equal For Use With Or Without Locking Mechanism Initial Only(For Other Than I Nitial Use Code L5673 Or L5679)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.69 / $942.63 / $4,471.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.52 / $950.52 / $950.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.88 / $693.88 / $950.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.93 / $3,005.63 / $3,920.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$942.63 / $1,291.40 / $1,549.90
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.40 / $1,456.91 / $1,627.40
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.26 / $1,549.90 / $1,704.89
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,394.91 / $1,549.90 / $1,608.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$942.63 / $1,331.14 / $1,627.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.88 / $1,357.14 / $1,704.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,291.28 / $2,577.40 / $5,437.52
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,332.91 / $1,704.89 / $1,704.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.33 / $707.89 / $1,350.55