go back

Washington rates for HCPCS 24900

Amputation, arm through humerus; with primary closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$944.93 / $2,069.00 / $22,024.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.76 / $944.93 / $2,069.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,026.88 / $35,815.01 / $70,064.83
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.99 / $1,689.20 / $6,546.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.00 / $870.49 / $870.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.93 / $1,332.31 / $2,266.71
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.87 / $1,421.28 / $2,041.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.87 / $1,417.51 / $1,867.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.68 / $414.42 / $1,521.65
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.45 / $1,407.00 / $1,505.49
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$995.69 / $995.69 / $1,026.88
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.64 / $1,633.57 / $2,038.25
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
$1,015.48 / $1,461.62 / $1,945.90
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
$897.56 / $1,192.80 / $2,143.42
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.10 / $647.10 / $841.79