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Oregon rates for HCPCS L6055

Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,376.71 / $2,366.44 / $11,213.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,476.09 / $2,476.09 / $2,476.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.55 / $1,807.55 / $2,476.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,723.64 / $6,730.71 / $8,778.53
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,366.44 / $3,242.02 / $3,890.92
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,893.04 / $3,657.46 / $4,085.47
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,088.53 / $3,501.83 / $3,890.92
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,396.97 / $3,747.73 / $3,890.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,301.23 / $3,316.68 / $4,085.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.55 / $3,407.03 / $4,280.01
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,241.70 / $6,470.46 / $13,650.61
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,346.19 / $4,280.01 / $4,280.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,514.66 / $1,585.34 / $3,024.62