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Washington rates for HCPCS L5686

Addition To Lower Extremity Below Knee Back Check (Extension Control)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.73 / $112.89 / $117.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.22 / $49.73 / $117.86
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.00 / $141.04 / $328.96
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.90 / $65.03 / $392.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.94 / $44.94 / $44.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.81 / $32.81 / $44.94
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.67 / $73.73 / $175.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.71 / $72.68 / $129.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.78 / $58.65 / $64.51
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.74 / $72.44 / $76.51
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.78 / $76.51 / $79.68
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.00 / $85.93 / $149.44
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.51 / $63.51 / $73.18
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.83 / $74.72 / $74.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.78 / $65.03 / $84.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.24 / $37.24 / $37.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.59 / $45.88 / $58.36
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.41 / $10.41 / $39.13