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Washington rates for HCPCS L0984

Protective Body Sock Prefabricated Off-The- Shelf Each (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.99 / $68.12 / $118.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.04 / $51.99 / $123.22
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.45 / $165.51 / $353.81
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.91 / $66.25 / $389.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.72 / $36.72 / $36.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.81 / $26.81 / $51.62
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.64 / $77.04 / $199.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.72 / $77.04 / $143.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.13 / $59.04 / $64.94
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.14 / $75.06 / $77.04
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.34 / $75.06 / $77.04
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.45 / $86.51 / $150.46
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.95 / $63.95 / $86.47
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.31 / $75.23 / $75.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.18 / $65.48 / $84.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.11 / $33.70 / $64.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $40.28