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Washington rates for HCPCS L5460

Immediate postsurgical or early fitting, application of nonweight bearing rigid dressing, above knee (AK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.65 / $1,034.33 / $1,079.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.39 / $455.65 / $1,079.89
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.96 / $1,335.20 / $3,319.62
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.09 / $602.99 / $4,319.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.42 / $484.42 / $484.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.63 / $353.63 / $484.42
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.77 / $701.19 / $1,874.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.22 / $715.17 / $1,388.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.75 / $537.51 / $591.26
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.58 / $684.72 / $701.15
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.04 / $701.15 / $701.15
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.96 / $787.43 / $1,369.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$667.37 / $684.72 / $684.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.01 / $595.98 / $771.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.51 / $435.34 / $622.94
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.90 / $405.92 / $405.92