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Washington rates for HCPCS E1815

Dynamic Adjustable Ankle Extension/Flexion Device Includes Soft Interface Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.48 / $882.48 / $882.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.30 / $882.48 / $1,182.51
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.74 / $100.00 / $154.58
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.00 / $1,250.00 / $1,853.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.82 / $99.82 / $99.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.85 / $84.85 / $131.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $176.54 / $176.54
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.58 / $154.58 / $154.58
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,465.40 / $1,465.40 / $3,108.56
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.20 / $119.20 / $145.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.86 / $124.77 / $749.78
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.01 / $81.01 / $1,250.00