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Washington rates for HCPCS L6672

Upper extremity addition, harness, chest or shoulder, saddle type

Facilitymedian $234 · 10th–90th $151$5370%20%10th90th$234Professionalmedian $162 · 10th–90th $100$3310%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
$151.36 / $151.36 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $125.89 / $218.78
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $229.09 / $229.09
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $263.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $125.89 / $169.82
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $288.40 / $660.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $275.42 / $467.74
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $177.83 / $194.98
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $229.09 / $234.42
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $234.42 / $245.47
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $338.84 / $467.74
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $194.98 / $229.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $229.09 / $229.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $263.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $275.42 / $331.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $134.90 / $190.55
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $165.96 / $354.81