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Washington rates for HCPCS L2190

Addition To Lower Extremity Fracture Orthosis Waist Belt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.40 / $150.72 / $157.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.06 / $66.40 / $157.37
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.15 / $208.62 / $503.80
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.81 / $84.61 / $558.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.48 / $61.48 / $61.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.88 / $44.88 / $61.48
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.88 / $104.58 / $269.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.94 / $105.47 / $208.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.87 / $75.42 / $82.96
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.09 / $96.08 / $101.90
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.54 / $98.38 / $101.90
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.15 / $110.49 / $192.16
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.26 / $81.67 / $81.67
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.64 / $96.08 / $96.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.16 / $83.62 / $108.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.60 / $29.60 / $29.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.38 / $49.17 / $93.64
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.53 / $51.53 / $59.92