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Washington rates for HCPCS 24301

Muscle or tendon transfer, any type, upper arm or elbow, single (excluding 24320-24331)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $7,943.28 / $20,892.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,071.52 / $10,000.00
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,548.82 / $8,128.31
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,445.44 / $1,513.56
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,047.13 / $2,187.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $20,417.38 / $38,904.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $21,379.62 / $41,686.94