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Washington rates for HCPCS L4020

Replace quadrilateral socket brim, molded to patient model

Facilitymedian $1,072 · 10th–90th $724$2,5120%20%10th90th$1,072Professionalmedian $724 · 10th–90th $479$1,5490%20%10th90th$724$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$1,737.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$575.44
Typical High
$954.99
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,047.13
Typical High
$1,047.13
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$758.58
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,380.38
Typical High
$3,019.95
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,258.93
Typical High
$2,238.72
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$831.76
Typical High
$912.01
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,047.13
Typical High
$1,071.52
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,071.52
Typical High
$1,122.02
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,584.89
Typical High
$2,137.96
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,047.13
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$1,318.26
Typical High
$1,584.89
United
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$524.81
Typical High
$933.25
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$776.25
Typical High
$1,659.59