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Washington rates for HCPCS L8499

Unlisted procedure for miscellaneous prosthetic services

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,492.79 / $2,492.79 / $2,492.79
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.88 / $100.00 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.20 / $29.60 / $75.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.20 / $1.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.20 / $1.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $76.50 / $93.50
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,105.71 / $1,105.71 / $1,105.71
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.71 / $1,105.71 / $1,105.71