go back

Washington rates for HCPCS L7191

Electronic Elbow Child Variety Village Or Equal Myoelectronically Controlled

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,209.42 / $16,365.40 / $17,086.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,747.28 / $7,209.42 / $17,086.30
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,714.24 / $22,679.61 / $58,756.37
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,765.76 / $9,714.24 / $72,157.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,732.85 / $8,732.85 / $8,732.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,374.98 / $6,374.98 / $8,732.85
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,979.70 / $11,796.46 / $30,400.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,987.37 / $11,884.07 / $23,540.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,654.23 / $8,504.70 / $9,355.17
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,984.54 / $11,093.94 / $14,225.90
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,714.24 / $12,459.01 / $21,667.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,559.38 / $10,833.92 / $10,833.92
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,813.16 / $9,429.85 / $12,203.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,544.86 / $5,544.86 / $5,544.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,534.64 / $8,301.95 / $10,559.38
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,777.58 / $9,429.85 / $9,429.85