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Washington rates for HCPCS L6698

Addition To Upper Extremity Prosthesis Below Elbow/Above Elbow Lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$517.29 / $906.00 / $1,226.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.02 / $517.29 / $1,226.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.03 / $1,438.13 / $3,318.92
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.96 / $690.18 / $4,654.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.20 / $386.20 / $386.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.93 / $281.93 / $386.20
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.48 / $796.03 / $2,181.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.81 / $762.68 / $1,266.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.20 / $610.23 / $671.25
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.43 / $777.37 / $875.63
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.36 / $632.36 / $632.36
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.03 / $893.98 / $1,554.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$757.67 / $777.37 / $777.37
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.36 / $676.63 / $875.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.85 / $448.21 / $568.25
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.43 / $676.63 / $676.63