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Washington rates for HCPCS L5643

Addition to lower extremity, hip disarticulation, flexible inner socket, external frame

Facilitymedian $2,138 · 10th–90th $1,380$4,8980%20%10th90th$2,138Professionalmedian $1,413 · 10th–90th $851$3,0900%10%20%10th90th$1,413$1.0$5.0$20.0$100.0$500.0$2.0K$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
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$3,311.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,230.27
Typical High
$2,041.74
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$2,089.30
Typical High
$2,089.30
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$2,398.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$1,174.90
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,754.23
Typical High
$6,025.60
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$2,511.89
Typical High
$4,365.16
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$1,659.59
Typical High
$1,819.70
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$2,089.30
Typical High
$2,454.71
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,137.96
Typical High
$2,511.89
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,162.28
Typical High
$4,265.80
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$2,089.30
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$2,398.83
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,511.89
Typical High
$3,019.95
United
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,258.93
Typical High
$1,778.28
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$1,862.09
Typical High
$3,311.31