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Washington rates for HCPCS L5686

Addition to lower extremity, below knee (BK), back check (extension control)

Facilitymedian $76 · 10th–90th $48$1620%20%10th90th$76Professionalmedian $49 · 10th–90th $29$1000%10%10th90th$49$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
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$38.02
Typical High
$64.57
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$74.13
Typical High
$74.13
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$85.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$44.67
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$89.13
Typical High
$213.80
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$87.10
Typical High
$141.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$58.88
Typical High
$64.57
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$74.13
Typical High
$75.86
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$75.86
Typical High
$75.86
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$112.20
Typical High
$151.36
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$74.13
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$83.18
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$40.74
Typical High
$58.88
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$66.07
Typical High
$117.49