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Oregon rates for HCPCS L5988

Addition To Lower Limb Prosthesis Vertical Shock Reducing Pylon Feature

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.47 / $1,431.60 / $6,791.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.19 / $1,346.19 / $1,346.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.72 / $982.72 / $1,346.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,647.70 / $4,563.14 / $5,951.46
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,431.60 / $1,961.29 / $2,353.86
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,750.19 / $2,212.63 / $2,471.55
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,868.44 / $2,353.86 / $2,589.25
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,869.93 / $2,353.86 / $2,495.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.19 / $2,021.64 / $2,471.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.72 / $2,061.12 / $2,589.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,961.10 / $3,914.38 / $8,258.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,024.32 / $2,589.25 / $2,589.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,026.88 / $1,074.80 / $2,050.58