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Washington rates for HCPCS L6616

Upper Extremity Addition Additional Disconnect Insert For Locking Wrist Unit Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.75 / $137.90 / $143.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.93 / $60.75 / $143.97
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.84 / $168.87 / $404.35
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.61 / $79.45 / $490.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.36 / $50.36 / $50.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.76 / $36.76 / $50.36
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.14 / $93.36 / $223.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.19 / $89.61 / $164.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.49 / $71.66 / $78.82
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.20 / $84.12 / $93.47
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.84 / $93.47 / $102.82
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.84 / $104.97 / $182.56
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.64 / $77.59 / $77.59
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.97 / $91.28 / $91.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.26 / $79.45 / $102.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.84 / $58.50 / $74.09
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.84 / $46.84 / $79.45