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Oregon rates for HCPCS L5962

Addition Endoskeletal System Below Knee Flexible Protective Outer Surface Covering System

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.10 / $572.10 / $2,714.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.56 / $448.56 / $448.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.45 / $327.45 / $448.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.46 / $1,494.29 / $1,948.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.10 / $732.29 / $940.65
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.41 / $884.21 / $987.68
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.68 / $898.74 / $988.61
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.55 / $940.65 / $940.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.56 / $801.82 / $987.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.45 / $823.67 / $1,034.72
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.70 / $1,564.28 / $3,300.12
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.96 / $1,034.72 / $1,034.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.15 / $470.15 / $470.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.27 / $351.96 / $671.50