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Washington rates for HCPCS 23500

Closed treatment of clavicular fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.22 / $630.41 / $13,750.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$225.92 / $330.88 / $465.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.84 / $294.99 / $605.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.00 / $741.00 / $741.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.66 / $733.95 / $2,088.44
Asuris Northwest Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$291.72 / $755.54 / $755.54
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.63 / $528.62 / $2,041.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.39 / $500.00 / $568.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.53 / $444.66 / $733.58
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.29 / $365.12 / $562.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.76 / $364.62 / $571.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.04 / $176.19 / $456.28
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.39 / $416.07 / $470.34
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.31 / $303.06 / $320.81
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.13 / $512.79 / $636.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.36 / $667.91 / $1,278.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.55 / $456.63 / $607.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.00 / $546.00 / $5,793.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.88 / $341.29 / $629.07
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.84 / $263.14 / $269.85