go back

Oregon rates for HCPCS L1851

Knee orthosis (KO), single 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, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.93 / $615.59 / $677.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.97 / $636.97 / $636.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.99 / $464.99 / $636.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.49 / $1,231.52 / $1,606.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.74 / $584.98 / $924.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.88 / $584.98 / $833.49
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.98 / $595.98 / $885.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.93 / $614.23 / $849.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.99 / $677.04 / $877.36
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.02 / $1,491.78 / $2,360.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.93 / $643.48 / $924.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.69 / $481.81 / $769.49