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Oregon rates for HCPCS L5859

Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s)

Facilitymedian $17,783 · 10th–90th $13,490–$18,1970%50%10th90th$17,783Professionalmedian $10,965 · 10th–90th $7,586–$20,4170%10%10th90th$10,965$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
$10,964.78 / $10,964.78 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,413.10 / $9,772.37 / $14,791.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $9,772.37 / $9,772.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,317.64 / $8,317.64 / $8,317.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13,803.84 / $34,673.69 / $41,686.94
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,964.78 / $13,489.63 / $18,620.87
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13,489.63 / $16,595.87 / $20,417.38
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $17,782.79 / $18,197.01
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $15,848.93 / $21,877.62
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $15,848.93 / $19,054.61
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,135.61 / $28,840.32 / $70,794.58
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18,197.01 / $20,417.38 / $20,417.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $12,302.69 / $25,703.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,918.31 / $7,762.47 / $14,791.08