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Washington rates for HCPCS 21627

Sternal Debridement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,004.12 / $5,128.00 / $21,917.86
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.88 / $18,220.34 / $35,644.43
Asuris Northwest Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$76.80 / $252.36 / $252.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.00 / $870.49 / $870.49
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.75 / $1,076.24 / $1,484.93
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.93 / $1,041.18 / $1,108.18
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.14 / $731.14 / $755.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,233.34 / $18,633.84 / $35,644.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $5,547.00 / $19,271.00