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Washington rates for HCPCS L5321

Above Knee Molded Socket Open End Sach Foot Endoskeletal System Single Axis Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,375.73 / $7,662.91 / $8,000.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,972.42 / $3,375.73 / $8,000.48
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,548.58 / $9,384.79 / $20,983.29
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,278.90 / $4,415.42 / $26,681.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,481.10 / $2,481.10 / $2,481.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,811.20 / $1,811.20 / $2,481.10
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,482.02 / $4,934.88 / $11,295.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,484.75 / $4,934.88 / $8,370.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,584.00 / $3,982.23 / $4,380.45
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,852.38 / $4,472.24 / $5,194.60
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,944.84 / $5,194.60 / $5,194.60
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,548.58 / $5,833.79 / $10,145.71
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,944.31 / $5,072.85 / $5,072.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,126.66 / $4,415.42 / $5,714.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,516.35 / $2,600.65 / $3,032.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,968.04 / $2,952.05 / $3,754.76
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,714.98 / $2,714.98 / $2,859.80