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Washington rates for HCPCS L8485

Prosthetic sock, single ply, fitting, upper limb, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $25.47 / $26.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.01 / $11.22 / $26.59
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.12 / $75.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.40 / $15.02 / $85.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.63 / $9.63 / $9.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.03 / $7.03 / $9.63
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.19 / $16.41 / $38.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.19 / $16.41 / $28.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.90 / $13.23 / $14.55
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.70 / $16.01 / $17.27
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.54 / $17.27 / $17.61
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.12 / $19.39 / $33.74
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $16.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.44 / $16.87 / $16.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.71 / $14.68 / $19.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.66 / $9.55 / $12.71
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $14.68