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Oregon rates for HCPCS L5976

All Lower Extremity Prostheses Energy Storing Foot (Seattle Carbon Copy Ii Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.20 / $456.99 / $2,585.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.01 / $420.01 / $420.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.61 / $306.61 / $420.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.97 / $1,423.99 / $1,857.24
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.99 / $626.08 / $751.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.70 / $706.31 / $788.96
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.45 / $725.74 / $798.31
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.25 / $751.39 / $751.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.01 / $645.35 / $788.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.61 / $657.95 / $826.53
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.02 / $1,249.54 / $2,636.14
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.20 / $826.53 / $826.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.38 / $335.33 / $639.78