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Washington rates for HCPCS L8043

Upper facial prosthesis, provided by a nonphysician

Facilitymedian $4,467 · 10th–90th $2,818–$9,7720%20%10th90th$4,467Professionalmedian $3,090 · 10th–90th $1,995–$6,4570%20%10th90th$3,090$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $2,884.03 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,454.71 / $3,801.89
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $4,365.16 / $4,365.16
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $3,890.45 / $5,011.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $3,630.78 / $3,630.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,090.30 / $3,630.78
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $5,248.07 / $12,589.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $5,248.07 / $9,332.54
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $4,265.80 / $4,570.88
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $4,365.16 / $4,466.84
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,548.13 / $4,265.80 / $4,466.84
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $6,606.93 / $8,912.51
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $3,715.35 / $4,365.16
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $4,365.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $3,890.45 / $5,011.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $3,090.30 / $6,606.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,691.53 / $3,890.45
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $3,162.28 / $6,760.83