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Oregon rates for HCPCS L5968

Addition To Lower Limb Prosthesis Multiaxial Ankle With Swing Phase Active Dorsiflexion Feature

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,910.87 / $2,604.16 / $12,354.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,448.80 / $2,448.80 / $2,448.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.62 / $1,787.62 / $2,448.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,997.24 / $8,301.00 / $10,826.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,604.16 / $3,567.70 / $4,281.77
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,183.66 / $4,024.86 / $4,495.85
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,398.78 / $4,281.77 / $4,709.95
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,853.59 / $4,281.77 / $4,709.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,448.80 / $3,677.46 / $4,495.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.62 / $3,749.27 / $4,709.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,567.34 / $7,120.44 / $15,021.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,682.32 / $4,709.95 / $4,709.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,867.96 / $1,955.12 / $3,730.12