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Washington rates for HCPCS L5661

Addition to lower extremity, socket insert, multidurometer Symes

Facilitymedian $724 · 10th–90th $501–$1,8620%20%10th90th$724Professionalmedian $537 · 10th–90th $331–$1,1480%10%20%10th90th$537$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
$478.63 / $478.63 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $436.52 / $660.69
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $707.95 / $707.95
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $630.96 / $812.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $457.09
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $1,023.29 / $2,089.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $933.25 / $1,698.24
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $562.34 / $616.60
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $707.95 / $724.44
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $724.44 / $724.44
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $1,071.52 / $1,445.44
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $707.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $707.95 / $707.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $630.96 / $812.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $1,000.00 / $1,202.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $489.78 / $691.83
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $630.96 / $1,122.02