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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)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,629.61 / $11,018.54 / $49,326.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,812.54 / $9,812.54 / $9,812.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,340.66 / $8,340.66 / $9,812.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,681.74 / $33,262.24 / $43,382.29
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,018.54 / $15,756.51 / $18,116.77
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,713.21 / $17,243.82 / $19,022.61
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,292.83 / $17,707.86 / $19,928.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,018.54 / $15,863.68 / $19,022.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,340.66 / $15,863.68 / $19,928.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,093.89 / $30,127.52 / $63,559.42
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,580.42 / $19,928.45 / $19,928.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,485.09 / $7,834.36 / $15,015.86