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Washington rates for HCPCS L3400

Metatarsal Bar Wedge Rocker (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.31 / $73.34 / $76.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.74 / $32.31 / $76.56
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.92 / $99.55 / $228.34
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.08 / $41.65 / $246.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.72 / $33.72 / $33.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.62 / $24.62 / $33.72
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.28 / $52.04 / $125.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.69 / $50.41 / $92.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.02 / $36.69 / $40.35
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.00 / $46.75 / $49.53
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.08 / $47.87 / $49.53
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.92 / $53.76 / $93.50
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.74 / $39.74 / $46.75
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.57 / $46.75 / $46.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $40.69 / $52.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.41 / $70.09 / $70.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.21 / $21.89 / $41.70
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.02 / $26.02 / $40.69