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Oregon rates for HCPCS L5971

All Lower Extremity Prosthesis Solid Ankle Cushion Heel (Sach) Foot Replacement Only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.61 / $179.05 / $884.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.21 / $159.21 / $159.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.22 / $116.22 / $159.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.09 / $516.33 / $673.42
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.05 / $245.30 / $294.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.91 / $276.75 / $309.13
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.70 / $272.52 / $299.77
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.89 / $294.41 / $294.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.66 / $256.04 / $309.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.22 / $257.79 / $323.85
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.28 / $489.58 / $1,032.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.19 / $323.85 / $323.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.19 / $121.61 / $233.08