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Oregon rates for HCPCS L5781

Addition To Lower Limb Prosthesis Vacuum Pump Residual Limb Volume Management And Moisture Evacuation System

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,103.98 / $2,867.32 / $13,602.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,886.72 / $2,886.72 / $2,886.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,107.31 / $2,107.31 / $2,886.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,300.14 / $9,139.76 / $11,920.56
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,867.32 / $3,928.23 / $4,714.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,505.39 / $4,431.60 / $4,950.20
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,243.03 / $4,714.47 / $5,371.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,867.32 / $4,049.09 / $4,950.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,107.31 / $4,128.16 / $5,185.93
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,927.84 / $7,840.00 / $16,539.89
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,054.45 / $5,185.93 / $5,185.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,904.03 / $6,904.03 / $9,205.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,056.73 / $2,152.71 / $4,107.10