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Oregon rates for HCPCS L1845

Knee orthosis (KO), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Facilitymedian $933 · 10th–90th $724–$9550%50%10th90th$933Professionalmedian $589 · 10th–90th $457–$1,0720%10%20%10th90th$589$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $575.44 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $549.54 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $630.96 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $457.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $2,041.74 / $2,454.71
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $724.44 / $977.24
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $776.25 / $1,071.52
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $933.25 / $954.99
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $954.99 / $954.99
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $812.83 / $1,148.15
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $831.76 / $1,023.29
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $1,513.56 / $3,715.35
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,071.52 / $1,071.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $457.09 / $1,513.56
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $457.09 / $870.96