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Oregon rates for HCPCS L5850

Addition Endoskeletal System Above Knee Or Hip Disarticulation Knee Extension Assist

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.52 / $93.38 / $443.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.32 / $99.32 / $99.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.50 / $72.50 / $99.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.48 / $325.27 / $424.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.38 / $127.93 / $157.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.16 / $138.19 / $161.22
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.88 / $153.54 / $204.71
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.88 / $153.54 / $204.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.31 / $134.44 / $161.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.50 / $134.44 / $168.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.92 / $255.34 / $538.65
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.04 / $168.89 / $168.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.19 / $76.59 / $146.13