go back

Oregon rates for HCPCS L5200

Above knee (AK), molded socket, single axis constant friction knee, shin, SACH foot

Facilitymedian $4,169 · 10th–90th $3,715–$4,8980%20%40%10th90th$4,169Professionalmedian $2,951 · 10th–90th $1,862–$5,4950%10%10th90th$2,951$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
$2,951.21 / $2,951.21 / $2,951.21
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,398.83 / $3,715.35
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $2,754.23 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $1,995.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $8,709.64 / $10,715.19
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $3,715.35 / $5,011.87
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,630.78 / $3,981.07 / $5,370.32
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $4,786.30 / $4,897.79
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,981.07 / $4,897.79 / $5,888.44
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $4,073.80 / $5,248.07
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $4,168.69 / $5,128.61
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $7,762.47 / $19,054.61
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $5,495.41 / $5,495.41
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,951.21 / $6,456.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $1,995.26 / $3,801.89