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Oregon rates for HCPCS L5975

All Lower Extremity Prosthesis Combination Single Axis Ankle And Flexible Keel Foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.79 / $332.22 / $1,576.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.03 / $362.03 / $362.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.27 / $264.27 / $362.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.36 / $1,058.92 / $1,381.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.22 / $455.14 / $546.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.14 / $513.46 / $573.54
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.59 / $546.23 / $600.85
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.93 / $546.23 / $565.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.22 / $469.14 / $573.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.27 / $478.30 / $600.85
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.09 / $908.36 / $1,916.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.76 / $600.85 / $600.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.30 / $249.43 / $475.87