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Washington rates for HCPCS L5668

Addition to lower extremity, below knee (BK), molded distal cushion

Facilitymedian $135 · 10th–90th $87$2950%20%10th90th$135Professionalmedian $91 · 10th–90th $60$1950%10%20%10th90th$91$1.0$5.0$20.0$100.0$500.0

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
$87.10 / $134.90 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $72.44 / $117.49
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $131.83 / $131.83
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $117.49 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $89.13
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $169.82 / $380.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $158.49 / $281.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $102.33 / $114.82
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $131.83 / $134.90
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $120.23 / $134.90
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $199.53 / $269.15
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $112.20 / $131.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $131.83 / $131.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $117.49 / $151.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $165.96 / $199.53
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $81.28 / $114.82
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $117.49 / $204.17