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Washington rates for HCPCS 24164

Removal of prosthesis, includes debridement and synovectomy when performed; radial head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,345.03 / $5,128.00 / $20,680.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,961.46 / $9,172.83 / $20,286.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.97 / $870.49 / $3,740.43
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.16 / $1,216.55 / $3,280.24
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$823.99 / $1,394.94 / $1,477.35
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.12 / $986.25 / $2,961.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,693.27 / $9,167.59 / $17,546.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,129.00 / $11,941.00