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Washington rates for HCPCS L5999

Lower extremity prosthesis, not otherwise specified

Facilitymedian $1,072 · 10th–90th $1,072–$1,0720%50%$1,072Professionalmedian $3,467 · 10th–90th $65–$3,4670%50%10th$3,467$1.0$5.0$20.0$100.0$500.0$2.0K

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
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,467.37 / $3,467.37
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.20 / $1.20 / $1.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.20 / $1.20 / $1.20
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $75.86 / $93.33
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,071.52 / $1,071.52
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,071.52 / $1,071.52