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Washington rates for HCPCS L5230

Above knee (AK), for proximal femoral focal deficiency, constant friction knee, shin, SACH foot

Facilitymedian $5,888 · 10th–90th $3,548–$12,0230%20%10th90th$5,888Professionalmedian $3,802 · 10th–90th $2,089–$7,5860%10%10th90th$3,802$1.0$10.0$100.0$1.0K$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
$3,801.89 / $3,801.89 / $9,120.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,884.03 / $5,011.87
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $5,754.40 / $5,754.40
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $5,128.61 / $6,606.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $2,884.03 / $2,884.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,089.30 / $2,884.03
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $6,760.83 / $16,595.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $6,456.54 / $10,471.29
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $4,570.88 / $5,011.87
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $5,754.40 / $5,888.44
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,888.44 / $6,025.60
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $8,709.64 / $11,748.98
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $4,897.79 / $5,754.40
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $5,754.40 / $5,754.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $5,128.61 / $6,606.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $6,165.95 / $7,413.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $3,019.95 / $4,365.16
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $5,128.61 / $9,120.11