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Oregon rates for HCPCS L1847

Knee orthosis (KO), double upright with adjustable joint, with inflatable air support chamber(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.48 / $405.74 / $1,951.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.84 / $386.84 / $386.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.39 / $282.39 / $386.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.47 / $1,311.07 / $1,709.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.74 / $555.86 / $676.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.92 / $642.57 / $710.21
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.75 / $676.39 / $770.65
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.33 / $676.39 / $676.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.84 / $580.21 / $710.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.39 / $592.27 / $744.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.53 / $1,124.82 / $2,372.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.70 / $744.03 / $744.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.89 / $308.85 / $591.96