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Washington rates for HCPCS L5651

Addition to lower extremity, above knee (AK), flexible inner socket, external frame

Facilitymedian $1,479 · 10th–90th $1,000–$3,6310%20%10th90th$1,479Professionalmedian $1,072 · 10th–90th $692–$2,2910%20%10th90th$1,072$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $933.25 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $870.96 / $1,445.44
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,412.54 / $1,412.54
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $1,621.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,202.26 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $1,202.26
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $2,041.74 / $4,168.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,819.70 / $3,311.31
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $1,096.48 / $1,202.26
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,412.54 / $1,862.09
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,905.46 / $1,905.46
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $2,089.30 / $2,884.03
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,202.26 / $1,412.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,412.54 / $1,412.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $1,621.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $1,949.84 / $2,344.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $954.99 / $1,380.38
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $1,258.93 / $2,187.76