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Oregon rates for HCPCS L1852

Knee Orthosis (Ko) Double Upright Thigh And Calfwith 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
$435.99 / $586.95 / $674.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.80 / $647.80 / $647.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.90 / $472.90 / $472.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.64 / $1,175.41 / $1,533.01
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.55 / $558.05 / $838.16
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.58 / $558.05 / $753.38
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.05 / $568.54 / $819.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.99 / $585.96 / $786.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.90 / $633.91 / $795.15
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.32 / $1,351.99 / $2,252.14
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.51 / $613.87 / $856.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.28 / $459.39 / $733.69