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Oregon rates for HCPCS L2622

Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each

Facilitymedian $339 · 10th–90th $263–$3470%20%40%10th90th$339Professionalmedian $219 · 10th–90th $158–$3890%10%10th90th$219$100.0$500.0$2.0K$10.0K

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
$208.93 / $208.93 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $208.93 / $263.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $758.58 / $933.25
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $263.03 / $389.05
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $275.42 / $389.05
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $338.84 / $346.74
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $346.74 / $380.19
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $295.12 / $457.09
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $302.00 / $363.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $549.54 / $1,348.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $389.05 / $389.05
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $229.09 / $562.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $173.78 / $331.13