go back

Washington rates for HCPCS 23170

Sequestrectomy Clavicle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,054.84 / $4,011.00 / $18,711.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.91 / $730.57 / $1,588.73
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,961.46 / $9,522.34 / $17,546.59
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.32 / $1,337.13 / $5,034.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.25 / $761.81 / $4,824.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.70 / $1,028.51 / $1,749.74
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.37 / $1,165.80 / $4,231.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.91 / $1,148.09 / $3,643.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.54 / $361.27 / $1,132.61
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$779.56 / $1,078.03 / $1,158.43
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$763.31 / $790.15 / $2,961.46
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.08 / $1,256.98 / $1,568.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,948.17 / $9,167.59 / $17,546.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.47 / $1,124.68 / $1,503.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,129.00 / $11,941.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.00 / $890.99 / $1,650.03
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.19 / $481.19 / $629.11