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Washington rates for HCPCS L8420

Prosthetic Sock Multiple Ply Below Knee Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.65 / $35.53 / $94.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.67 / $15.65 / $37.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.05 / $18.05 / $18.46
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.08 / $75.00 / $125.14
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.00 / $21.48 / $149.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.29 / $16.29 / $16.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.89 / $11.89 / $16.29
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.56 / $25.31 / $65.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.57 / $25.31 / $49.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.61 / $18.46 / $20.30
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.11 / $23.34 / $24.07
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.46 / $23.34 / $24.55
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.08 / $27.04 / $47.02
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $31.53
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $23.51 / $23.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.13 / $20.46 / $26.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.12 / $37.34 / $37.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.65 / $17.47 / $22.22
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.53 / $13.53 / $20.46