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Oregon rates for HCPCS L5814

Addition Endoskeletal Knee-Shin System Polycentric Hydraulic Swing Phase Control Mechanical Stance Phase Lock

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,952.91 / $2,661.45 / $12,625.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,502.67 / $2,502.67 / $2,502.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.95 / $1,826.95 / $2,502.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,063.18 / $8,483.54 / $11,064.65
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,661.45 / $3,646.19 / $4,375.97
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,253.71 / $4,113.41 / $4,375.97
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,473.56 / $4,375.97 / $4,813.57
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,719.57 / $4,375.97 / $4,813.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,502.67 / $3,758.38 / $4,594.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.95 / $3,831.76 / $4,813.57
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,645.82 / $7,277.08 / $15,352.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,763.33 / $4,813.57 / $4,813.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,909.06 / $1,998.13 / $3,812.18