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Oregon rates for HCPCS L5828

Addition Endoskeletal Knee-Shin System Single Axis Fluid Swing And Stance Phase Control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,468.41 / $2,061.42 / $12,667.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,117.90 / $2,117.90 / $2,117.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.07 / $1,546.07 / $2,117.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,372.59 / $7,179.57 / $9,363.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,061.42 / $2,824.16 / $3,389.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,520.15 / $3,186.05 / $3,558.88
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,050.47 / $3,389.41 / $4,192.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,061.42 / $2,947.84 / $3,558.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.07 / $2,967.88 / $3,728.35
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,823.87 / $5,636.46 / $11,891.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,914.89 / $3,728.35 / $3,728.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,615.55 / $1,690.94 / $3,226.09