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Washington rates for HCPCS L6200

Elbow disarticulation, molded socket, outside locking hinge, forearm

Facilitymedian $4,266 · 10th–90th $2,570–$8,7100%20%10th90th$4,266Professionalmedian $2,754 · 10th–90th $1,622–$5,3700%20%10th90th$2,754$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
$2,754.23 / $2,754.23 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,949.84 / $3,548.13
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $4,168.69 / $4,168.69
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $3,715.35 / $4,786.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $2,691.53 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $1,949.84 / $2,691.53
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $4,897.79 / $12,022.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $4,570.88 / $7,585.78
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $3,235.94 / $3,548.13
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $4,168.69 / $4,265.80
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,388.44 / $3,630.78 / $4,265.80
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $6,165.95 / $8,511.38
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,548.13 / $3,548.13 / $4,168.69
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,168.69 / $4,168.69 / $4,168.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $3,715.35 / $4,786.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $4,466.84 / $5,370.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $2,187.76 / $3,090.30
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $3,715.35 / $6,456.54