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Oregon rates for HCPCS L5728

Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control

Facilitymedian $3,020 · 10th–90th $2,291–$3,4670%50%10th90th$3,020Professionalmedian $1,905 · 10th–90th $1,288–$3,4670%10%10th90th$1,905$100.0$200.0$500.0$1.0K$2.0K$5.0K$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
$1,905.46 / $1,905.46 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,698.24 / $2,454.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,041.74 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,513.56 / $1,513.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $6,309.57 / $7,585.78
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,344.23 / $3,162.28
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $2,511.89 / $3,388.44
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $3,090.30 / $3,388.44
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $2,630.27 / $3,715.35
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $2,691.53 / $3,235.94
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $4,897.79 / $12,302.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,467.37 / $3,467.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $2,137.96 / $4,677.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,412.54 / $2,691.53