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Washington rates for HCPCS L5100

Below knee (BK), molded socket, shin, SACH foot

Facilitymedian $3,388 · 10th–90th $2,188$7,4130%20%10th90th$3,388Professionalmedian $2,188 · 10th–90th $1,318$4,5710%10%20%10th90th$2,188$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,187.76 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,659.59 / $2,818.38
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $3,311.31 / $3,311.31
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $2,884.03 / $3,801.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $1,737.80 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $1,737.80
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $3,890.45 / $9,549.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $3,890.45 / $6,456.54
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $2,570.40 / $2,818.38
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,311.31 / $3,388.44
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,019.95 / $3,388.44 / $3,388.44
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $4,897.79 / $6,760.83
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,754.23 / $2,754.23 / $3,311.31
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $3,311.31 / $3,311.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $2,884.03 / $3,801.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,801.89 / $4,570.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,862.09 / $2,630.27
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,884.03 / $5,128.61