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Oregon rates for HCPCS L5321

Above knee (AK), molded socket, open end, SACH foot, endoskeletal system, single axis knee

Facilitymedian $4,571 · 10th–90th $3,890–$5,2480%20%40%10th90th$4,571Professionalmedian $3,162 · 10th–90th $1,820–$5,8880%10%10th90th$3,162$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
$3,162.28 / $3,162.28 / $3,162.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,344.23 / $3,630.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $2,454.71 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $1,819.70 / $1,819.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,981.07 / $8,709.64 / $10,964.78
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,890.45 / $5,248.07
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,801.89 / $4,168.69 / $5,623.41
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,981.07 / $5,128.61 / $5,248.07
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,981.07 / $5,248.07 / $5,248.07
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $4,073.80 / $5,623.41
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $4,466.84 / $5,495.41
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $8,317.64 / $20,417.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,248.07 / $5,888.44 / $5,888.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $3,019.95 / $6,456.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $1,949.84 / $3,715.35