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Washington rates for HCPCS L6885

Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,312.50 / $7,519.38 / $7,850.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,911.49 / $3,312.50 / $7,850.62
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,463.39 / $9,706.81 / $19,929.31
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,950.95 / $4,332.71 / $30,066.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,297.39 / $3,297.39 / $3,297.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,407.09 / $2,407.09 / $3,297.39
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,537.28 / $5,097.31 / $13,967.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,680.88 / $4,883.82 / $8,111.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,516.87 / $3,907.64 / $4,298.40
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,733.38 / $4,977.85 / $5,097.31
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,049.37 / $4,049.37 / $4,049.37
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,463.39 / $5,724.53 / $9,955.70
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,851.70 / $4,977.85 / $4,977.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,049.37 / $4,332.71 / $5,607.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,097.31 / $6,116.77 / $6,116.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,907.24 / $2,860.87 / $3,638.78
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,335.56 / $4,332.71 / $4,332.71