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Washington rates for HCPCS L5450

Immediate postsurgical or early fitting, application of nonweight bearing rigid dressing, below knee (BK)

Facilitymedian $525 · 10th–90th $347–$1,2020%20%10th90th$525Professionalmedian $372 · 10th–90th $219–$7760%10%20%10th90th$372$1.0$5.0$20.0$100.0$500.0$2.0K

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
$346.74 / $467.74 / $812.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $295.12 / $478.63
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $512.86 / $512.86
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $309.03
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $691.83 / $1,479.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $630.96 / $1,122.02
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $407.38 / $446.68
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $512.86 / $575.44
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $524.81 / $588.84
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $776.25 / $1,047.13
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $436.52 / $512.86
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $512.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $588.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $660.69 / $794.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $323.59 / $467.74
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $457.09 / $812.83