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Washington rates for HCPCS 23900

Interthoracoscapular amputation (forequarter)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,755.91 / $3,930.95 / $22,024.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,279.73 / $1,755.91 / $3,930.95
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.23 / $35,815.01 / $70,064.83
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,991.53 / $3,152.41 / $12,137.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.00 / $870.49 / $870.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,450.73 / $2,478.42 / $4,192.10
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,319.98 / $2,675.52 / $3,818.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,319.98 / $2,649.54 / $3,508.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.08 / $805.84 / $2,664.05
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.22 / $2,681.34 / $2,793.23
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,858.66 / $1,858.66 / $1,905.23
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,128.67 / $3,036.22 / $3,781.70
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,977.90 / $36,627.79 / $70,064.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,895.59 / $2,711.85 / $3,610.35
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
$1,665.31 / $2,241.13 / $4,000.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,160.04 / $1,160.04 / $1,489.14