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Washington rates for HCPCS L5987

All lower extremity prostheses, shank foot system with vertical loading pylon

Facilitymedian $8,511 · 10th–90th $5,495$20,4170%20%10th90th$8,511Professionalmedian $6,026 · 10th–90th $3,802$12,5890%20%10th90th$6,026$1.0$10.0$100.0$1.0K$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
$5,495.41 / $5,495.41 / $13,182.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $4,677.35 / $7,585.78
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $8,317.64 / $8,317.64
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,413.10 / $7,413.10 / $9,549.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $6,025.60 / $6,025.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $6,025.60
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $11,481.54 / $23,988.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $10,000.00 / $17,782.79
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $75.86 / $8,709.64
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,760.83 / $8,317.64 / $8,511.38
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,511.38 / $8,511.38 / $10,964.78
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $12,302.69 / $16,982.44
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,079.46 / $7,079.46 / $8,317.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $8,317.64 / $8,317.64
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,413.10 / $7,413.10 / $9,549.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $12,589.25 / $12,589.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,630.78 / $5,128.61 / $7,413.10
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $7,413.10 / $12,882.50