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Oregon rates for HCPCS L5703

Ankle, Symes, molded to patient model, socket without solid ankle cushion heel (SACH) foot, replacement only

Facilitymedian $2,692 · 10th–90th $2,188$2,9510%20%40%10th90th$2,692Professionalmedian $1,778 · 10th–90th $1,175$3,3110%10%10th90th$1,778$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $1,778.28 / $1,778.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,513.56 / $2,570.40
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,137.96 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,548.82 / $1,548.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $5,623.41 / $6,760.83
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,238.72 / $3,019.95
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,344.23 / $3,311.31
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,884.03 / $2,951.21
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $2,951.21 / $2,951.21
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,454.71 / $3,162.28
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $2,570.40 / $3,090.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $4,677.35 / $11,481.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $3,311.31 / $3,311.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $1,949.84 / $4,073.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,258.93 / $2,398.83