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Washington rates for HCPCS L5678

Additions to lower extremity, below knee (BK), joint covers, pair

Facilitymedian $56 · 10th–90th $36$1260%10%10th90th$56Professionalmedian $36 · 10th–90th $22$780%10%10th90th$36$0.5$2.0$10.0$50.0$200.0

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
$36.31 / $36.31 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $28.18 / $46.77
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $54.95 / $54.95
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $63.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $29.51
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $70.79 / $158.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $66.07 / $109.65
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $43.65 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $54.95 / $56.23
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $83.18 / $114.82
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $54.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $63.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $64.57 / $77.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $31.62 / $45.71
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $48.98 / $87.10