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Oregon rates for HCPCS L8417

Prosthetic Sheath/Sock Including A Gel Cushion Layer Below Knee Or Above Knee Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $53.90 / $255.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.66 / $50.66 / $50.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.97 / $36.97 / $50.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.03 / $171.87 / $224.16
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.90 / $73.84 / $88.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $83.30 / $93.05
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.34 / $88.62 / $97.48
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.76 / $88.62 / $91.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.66 / $76.09 / $93.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.97 / $77.59 / $97.48
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.83 / $147.36 / $310.91
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.20 / $97.48 / $97.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.07 / $40.45 / $77.17