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Washington rates for HCPCS L6615

Upper extremity addition, disconnect locking wrist unit

Facilitymedian $257 · 10th–90th $162–$5500%20%10th90th$257Professionalmedian $170 · 10th–90th $98–$3390%10%20%10th90th$170$1.0$5.0$20.0$100.0$500.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $125.89 / $213.80
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $251.19 / $251.19
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $173.78
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $302.00 / $724.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $295.12 / $478.63
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $194.98 / $218.78
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $251.19 / $257.04
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $234.42 / $281.84
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $371.54 / $512.86
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $251.19
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $251.19 / $251.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $288.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $281.84 / $338.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $138.04 / $199.53
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $181.97 / $389.05