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Oregon rates for HCPCS L5974

All Lower Extremity Prostheses Foot Single Axis Ankle/Foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.18 / $226.81 / $1,075.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.77 / $174.77 / $174.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.58 / $127.58 / $174.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.05 / $592.30 / $772.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.81 / $287.35 / $372.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.52 / $345.97 / $372.93
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.95 / $321.06 / $372.93
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.60 / $372.93 / $372.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.77 / $310.73 / $391.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.58 / $326.54 / $410.22
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.70 / $620.16 / $1,308.32
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.72 / $410.22 / $410.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.31 / $139.54 / $273.14