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Oregon rates for HCPCS L1846

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, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.10 / $786.42 / $1,261.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.60 / $840.60 / $840.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.64 / $613.64 / $840.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.27 / $2,665.44 / $3,476.39
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$864.03 / $1,183.72 / $1,440.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,070.97 / $1,353.96 / $1,512.40
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,143.33 / $1,296.33 / $1,440.38
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,264.46 / $1,440.38 / $1,440.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.60 / $1,235.56 / $1,512.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.64 / $1,261.24 / $1,584.42
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.04 / $2,395.28 / $5,053.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.73 / $1,584.42 / $1,584.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.48 / $627.88 / $1,197.90