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Washington rates for HCPCS K1022

Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type

Insurance Carrier
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.41 / $1,065.60 / $1,065.60
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.79 / $2,137.79 / $2,137.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.50 / $866.55 / $1,038.23
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20