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Washington rates for HCPCS 21630

Radical Resection Sternum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,733.00 / $5,132.00 / $22,024.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,219.96 / $1,495.26 / $3,431.71
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,801.95 / $18,633.84 / $35,644.43
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,854.79 / $2,908.77 / $11,428.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.00 / $870.49 / $870.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,280.83 / $2,359.46 / $3,978.12
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,186.75 / $2,419.71 / $3,356.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,160.33 / $2,362.48 / $3,149.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.37 / $797.86 / $2,582.63
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,722.70 / $2,345.67 / $2,641.81
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.81 / $1,760.81 / $1,801.95
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,018.84 / $2,819.25 / $3,576.70
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,233.34 / $18,633.84 / $35,644.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,795.79 / $2,544.28 / $3,414.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $5,547.00 / $19,271.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,510.59 / $2,037.54 / $3,794.43
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.19 / $1,098.19 / $1,418.47