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Washington rates for HCPCS L5640

Addition to lower extremity, knee disarticulation, leather socket

Facilitymedian $1,000 · 10th–90th $603–$2,0420%20%10th90th$1,000Professionalmedian $646 · 10th–90th $339–$1,2880%10%10th90th$646$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
$645.65 / $645.65 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $457.09 / $851.14
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $977.24 / $977.24
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $575.44 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $575.44
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $1,148.15 / $2,818.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $1,096.48 / $1,778.28
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $776.25 / $851.14
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $977.24 / $1,000.00
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,000.00 / $1,047.13
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $1,479.11 / $1,995.26
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $831.76 / $977.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $977.24 / $977.24
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $1,122.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $1,047.13 / $1,258.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $512.86 / $724.44
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $870.96 / $1,548.82