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Washington rates for HCPCS L7190

Electronic elbow, adolescent, Variety Village or equal, myoelectronically controlled

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,214.71 / $14,107.40 / $14,728.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,846.29 / $6,214.71 / $14,728.90
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,373.93 / $18,211.28 / $46,975.22
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,588.42 / $8,320.04 / $59,843.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,553.03 / $6,553.03 / $6,553.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,783.71 / $4,783.71 / $6,553.03
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,704.79 / $9,712.98 / $25,961.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,711.05 / $9,754.53 / $19,240.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,598.14 / $7,331.27 / $8,064.39
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,606.93 / $9,465.41 / $9,692.58
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,597.17 / $7,597.17 / $7,597.17
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,373.93 / $10,739.99 / $18,678.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,102.45 / $9,339.12 / $9,339.12
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,597.17 / $8,128.77 / $10,519.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,523.51 / $6,815.55 / $8,630.28
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,539.38 / $8,128.77 / $8,128.77