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Washington rates for HCPCS 20969

Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $7,943.28 / $20,892.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $870.96
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $5,495.41 / $12,022.64
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $5,248.07 / $5,495.41
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $3,715.35
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,125.38 / $18,620.87 / $35,481.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $21,379.62 / $41,686.94