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Oregon rates for HCPCS L5973

Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $12,589.25 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,120.11 / $11,220.18 / $17,782.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $12,882.50 / $12,882.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,332.54 / $9,332.54 / $9,332.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,848.93 / $40,738.03 / $50,118.72
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $15,848.93 / $21,877.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,135.61 / $16,595.87 / $22,387.21
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,417.38 / $20,892.96 / $21,379.62
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,595.87 / $16,595.87 / $20,892.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,715.19 / $18,197.01 / $26,302.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $18,197.01 / $21,877.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,378.01 / $29,512.09 / $79,432.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,892.96 / $23,442.29 / $23,442.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $30,902.95 / $40,738.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,511.38 / $9,332.54 / $17,782.79