go back

Washington rates for HCPCS L5980

All lower extremity prostheses, flex-foot system

Facilitymedian $5,012 · 10th–90th $3,162–$11,7490%20%10th90th$5,012Professionalmedian $3,311 · 10th–90th $2,042–$7,0790%10%20%10th90th$3,311$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$3,162.28 / $3,162.28 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $2,691.53 / $4,168.69
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $4,786.30 / $4,786.30
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,265.80 / $4,265.80 / $5,495.41
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $2,754.23 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,041.74 / $2,754.23
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $6,606.93 / $13,803.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,818.38 / $5,754.40 / $10,232.93
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $3,715.35 / $4,073.80
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $4,897.79 / $5,754.40
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $7,079.46 / $9,772.37
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,073.80 / $4,073.80 / $4,786.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $4,786.30 / $4,786.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,265.80 / $4,265.80 / $5,495.41
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $6,025.60 / $7,244.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,951.21 / $4,265.80
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $4,265.80 / $7,413.10