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Washington rates for HCPCS L6642

Upper extremity addition, excursion amplifier, lever type

Facilitymedian $282 · 10th–90th $182$6920%20%10th90th$282Professionalmedian $195 · 10th–90th $123$4170%10%20%10th90th$195$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
$181.97 / $181.97 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $165.96 / $288.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $269.15 / $269.15
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $239.88 / $316.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $223.87
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $371.54 / $794.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $338.84 / $602.56
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $213.80 / $234.42
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $269.15 / $281.84
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $263.03 / $295.12
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $407.38 / $562.34
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $229.09 / $269.15
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $239.88 / $316.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $354.81 / $426.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $173.78 / $251.19
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $199.53 / $426.58