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Oregon rates for HCPCS L5858

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

Facilitymedian $21,380 · 10th–90th $16,596$22,9090%50%10th90th$21,380Professionalmedian $13,183 · 10th–90th $9,772$24,5470%20%10th90th$13,183$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
$13,182.57 / $13,182.57 / $13,182.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,549.93 / $12,022.64 / $18,620.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $14,454.40 / $14,454.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,715.19 / $10,715.19 / $10,715.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,595.87 / $44,668.36 / $53,703.18
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $16,595.87 / $22,387.21
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,218.10 / $17,378.01 / $23,988.33
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $21,877.62 / $22,387.21
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $18,197.01 / $26,302.68
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $19,054.61 / $22,908.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $34,673.69 / $85,113.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21,877.62 / $24,547.09 / $24,547.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $15,488.17 / $32,359.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,912.51 / $10,000.00 / $19,054.61