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Washington rates for HCPCS L6640

Upper extremity additions, shoulder abduction joint, pair

Facilitymedian $417 · 10th–90th $263–$8910%20%10th90th$417Professionalmedian $269 · 10th–90th $166–$5500%10%20%10th90th$269$1.0$5.0$20.0$100.0$500.0$2.0K

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
$269.15 / $269.15 / $630.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $204.17 / $346.74
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $407.38 / $407.38
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $177.83 / $245.47
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $489.78 / $1,174.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $478.63 / $776.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $316.23 / $346.74
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $407.38 / $416.87
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $416.87
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $602.56 / $831.76
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $346.74 / $407.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $407.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $467.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $457.09 / $549.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $223.87 / $323.59
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $295.12 / $630.96