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Washington rates for HCPCS 23540

Clsd Tx Acromioclavicular Dislc W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.18 / $636.04 / $14,464.32
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$234.89 / $346.81 / $477.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.78 / $313.18 / $626.57
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.98 / $668.30 / $11,500.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$444.58 / $793.71 / $793.71
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.25 / $555.46 / $2,160.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.39 / $500.00 / $568.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.43 / $452.53 / $764.81
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.94 / $374.90 / $585.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.94 / $370.87 / $588.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.69 / $233.67 / $518.34
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.77 / $426.79 / $501.83
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.31 / $325.70 / $342.29
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.29 / $535.48 / $673.98
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
$332.18 / $481.66 / $642.40
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
$262.00 / $373.52 / $713.52
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.15 / $276.25 / $278.22