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Oregon rates for HCPCS L5781

Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system

Facilitymedian $4,571 · 10th–90th $3,548–$4,8980%50%10th90th$4,571Professionalmedian $2,884 · 10th–90th $2,089–$5,2480%10%20%10th90th$2,884$100.0$500.0$2.0K$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
$2,884.03 / $2,884.03 / $2,884.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,570.40 / $4,073.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $2,884.03 / $2,884.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,089.30 / $2,089.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,630.78 / $9,549.93 / $11,481.54
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $3,548.13 / $4,786.30
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,715.35 / $5,128.61
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $4,677.35 / $4,786.30
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $3,890.45 / $5,248.07
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $4,168.69 / $4,897.79
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $7,413.10 / $18,620.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $5,248.07 / $5,248.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $3,311.31 / $7,079.46
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,137.96 / $4,073.80