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Oregon rates for HCPCS L5856

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type

Facilitymedian $27,542 · 10th–90th $21,380–$29,5120%50%10th90th$27,542Professionalmedian $17,378 · 10th–90th $12,303–$31,6230%20%10th90th$17,378$100.0$500.0$2.0K$10.0K$50.0K

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
$17,378.01 / $17,378.01 / $17,378.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,302.69 / $15,488.17 / $24,547.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $16,218.10 / $16,218.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,748.98 / $11,748.98 / $11,748.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21,877.62 / $57,543.99 / $69,183.10
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $21,379.62 / $28,840.32
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20,892.96 / $22,908.68 / $30,902.95
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $28,183.83 / $28,840.32
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,135.61 / $23,442.29 / $31,622.78
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $24,547.09 / $30,199.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,442.29 / $44,668.36 / $112,201.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28,840.32 / $31,622.78 / $31,622.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $19,952.62 / $42,657.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,481.54 / $12,882.50 / $24,547.09