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Oregon rates for HCPCS L5999

Lower Extremi Prosthes, Not Otherwise Specified

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,559.00 / $2,559.00 / $2,559.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.43 / $1,071.43 / $79,999.20
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.43 / $1,071.43 / $1,071.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400,000.00 / $2,400,000.00 / $2,400,000.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,559.00 / $2,250,000.00 / $2,400,000.00