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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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,623.28 / $17,203.13 / $81,610.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,200.25 / $16,200.25 / $16,200.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,826.18 / $11,826.18 / $16,200.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,799.86 / $54,915.31 / $71,623.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,203.13 / $23,568.29 / $28,285.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,031.38 / $26,588.39 / $29,699.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,456.97 / $28,285.52 / $32,205.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,200.25 / $24,293.42 / $29,699.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,826.18 / $24,767.79 / $31,114.07
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,565.93 / $47,037.78 / $99,234.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24,325.55 / $31,114.07 / $31,114.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,482.01 / $41,482.01 / $55,309.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,357.68 / $12,934.33 / $24,677.01