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Washington rates for HCPCS L6635

Upper extremity addition, lift assist for elbow

Facilitymedian $229 · 10th–90th $148–$5250%20%10th90th$229Professionalmedian $162 · 10th–90th $100–$3390%10%20%10th90th$162$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
$147.91 / $147.91 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $125.89 / $208.93
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $223.87 / $223.87
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $194.98 / $257.04
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $165.96
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $295.12 / $645.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $275.42 / $489.78
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $173.78 / $190.55
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $223.87 / $229.09
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $229.09 / $251.19
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $331.13 / $457.09
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $223.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $223.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $194.98 / $257.04
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $288.40 / $346.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $141.25 / $199.53
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $162.18 / $346.74