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Oregon rates for HCPCS L5984

All Endoskeletal Lower Extremity Prostheses Axial Rotation Unit With Or Without Adjustability (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.22 / $527.34 / $2,630.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.25 / $427.25 / $427.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.89 / $311.89 / $427.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.94 / $1,448.13 / $1,888.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.34 / $701.66 / $867.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.71 / $815.04 / $910.41
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.28 / $780.35 / $867.06
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.97 / $867.06 / $867.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.41 / $739.11 / $910.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.89 / $759.23 / $953.77
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$722.39 / $1,441.90 / $3,041.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.67 / $953.77 / $953.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.91 / $341.11 / $650.79