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Washington rates for HCPCS L1640

Hip Orthosis Abduction Control Of Hip Joints Static Pelvic Band Or Spreader Bar Thigh Cuffs Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.98 / $833.05 / $869.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.20 / $366.98 / $869.74
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.17 / $1,157.86 / $2,777.77
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.88 / $473.11 / $3,176.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.04 / $379.04 / $379.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.70 / $276.70 / $379.04
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.14 / $556.90 / $1,487.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.50 / $556.90 / $1,103.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.19 / $416.88 / $458.56
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.66 / $531.05 / $637.80
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.00 / $543.80 / $637.80
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.17 / $610.72 / $1,062.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$517.60 / $531.05 / $531.05
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.00 / $462.24 / $598.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.82 / $259.82 / $259.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.78 / $259.33 / $494.79
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.90 / $124.90 / $316.12