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Washington rates for HCPCS L6677

Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow

Facilitymedian $355 · 10th–90th $229$8510%20%10th90th$355Professionalmedian $251 · 10th–90th $158$5130%20%10th90th$251$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
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$537.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$190.55
Typical High
$316.23
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$338.84
Typical High
$338.84
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$229.09
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$478.63
Typical High
$977.24
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$416.87
Typical High
$741.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$269.15
Typical High
$295.12
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$346.74
Typical High
$354.81
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$512.86
Typical High
$691.83
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$338.84
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$524.81
Typical High
$524.81
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$213.80
Typical High
$302.00
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$251.19
Typical High
$537.03