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Washington rates for HCPCS L6665

Upper extremity addition, Teflon, or equal, cable lining

Facilitymedian $59 · 10th–90th $38$1350%20%10th90th$59Professionalmedian $41 · 10th–90th $26$890%10%10th90th$41$0.5$2.0$10.0$50.0$200.0

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
$38.02 / $38.02 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $33.11 / $48.98
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $57.54 / $57.54
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $66.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $34.67
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $77.62 / $165.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $72.44 / $128.82
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $45.71 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $57.54 / $58.88
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $60.26
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $87.10 / $117.49
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $57.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $66.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $75.86 / $91.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $37.15 / $52.48
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $51.29 / $91.20