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Oregon rates for HCPCS L5857

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

Facilitymedian $9,772 · 10th–90th $7,586$10,4710%20%40%10th90th$9,772Professionalmedian $6,166 · 10th–90th $4,467$11,2200%10%20%10th90th$6,166$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
$6,165.95 / $6,165.95 / $6,165.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $5,495.41 / $8,709.64
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $6,606.93 / $6,606.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $4,897.79 / $4,897.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,762.47 / $20,417.38 / $24,547.09
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $7,585.78 / $10,232.93
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,413.10 / $8,128.31 / $10,964.78
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $10,000.00 / $10,232.93
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $8,317.64 / $11,220.18
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $8,709.64 / $10,471.29
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $15,848.93 / $39,810.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,232.93 / $11,220.18 / $11,220.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $7,079.46 / $15,135.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,073.80 / $4,570.88 / $8,709.64