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Washington rates for HCPCS L6625

Upper extremity addition, rotation wrist unit with cable lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.35 / $1,090.39 / $1,138.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.18 / $480.35 / $1,138.43
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.24 / $1,513.94 / $3,399.27
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.73 / $628.29 / $4,786.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.94 / $412.94 / $412.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.45 / $301.45 / $412.94
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.76 / $739.16 / $1,827.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.20 / $735.28 / $1,353.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.99 / $566.66 / $623.32
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.74 / $665.24 / $739.16
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.35 / $702.19 / $739.16
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.24 / $830.12 / $1,443.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$703.55 / $721.84 / $721.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.21 / $628.29 / $813.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.47 / $479.73 / $607.59
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.12 / $156.12 / $628.29