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Oregon rates for HCPCS L5972

All lower extremity prostheses, foot, flexible keel

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.39 / $286.17 / $1,627.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.77 / $293.77 / $293.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.45 / $214.45 / $293.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.36 / $896.30 / $1,168.99
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.17 / $392.05 / $470.51
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.86 / $442.28 / $494.04
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.50 / $470.51 / $528.40
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.50 / $470.51 / $528.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.17 / $404.11 / $494.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.45 / $412.00 / $517.55
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.01 / $782.46 / $1,650.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.64 / $517.55 / $517.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.80 / $676.80 / $902.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.62 / $211.03 / $402.62