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Oregon rates for HCPCS L5910

Addition Endoskeletal System Below Knee Alignable System

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.33 / $264.38 / $1,254.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.20 / $281.20 / $281.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.28 / $205.28 / $281.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.29 / $920.44 / $1,200.49
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.38 / $362.20 / $446.24
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.20 / $403.28 / $456.44
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.06 / $434.70 / $579.60
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.23 / $434.70 / $579.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.33 / $380.64 / $456.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.28 / $380.64 / $478.17
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.17 / $722.88 / $1,525.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.84 / $478.17 / $478.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.37 / $216.86 / $413.75