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Washington rates for HCPCS L4070

Replace proximal and distal upright for KAFO

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.25 / $574.88 / $600.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.55 / $253.25 / $600.20
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.61 / $1,209.77 / $1,717.61
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.80 / $322.75 / $3,824.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.09 / $205.09 / $205.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.72 / $149.72 / $205.09
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.29 / $375.29 / $907.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.50 / $365.09 / $672.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.93 / $287.70 / $316.47
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.89 / $337.76 / $375.29
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.05 / $375.29 / $375.29
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.61 / $421.46 / $732.98
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.20 / $366.49 / $366.49
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.13 / $319.00 / $412.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.24 / $158.43 / $301.77
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.67 / $93.67 / $319.00