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Washington rates for HCPCS 24920

Amputation Arm Thru Humerus Open Circular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$940.48 / $2,040.65 / $22,024.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.97 / $940.48 / $2,040.65
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.65 / $35,815.01 / $70,064.83
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.40 / $1,682.35 / $6,488.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.00 / $870.49 / $870.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.79 / $1,326.94 / $2,249.23
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$698.43 / $1,360.25 / $2,020.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.43 / $1,317.28 / $1,849.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.54 / $397.59 / $1,445.59
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,029.49 / $1,386.90 / $1,493.43
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$988.90 / $988.90 / $1,018.65
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.01 / $1,620.48 / $2,021.93
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
$1,008.55 / $1,449.92 / $1,930.31
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
$879.84 / $1,204.55 / $2,100.46
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.16 / $621.16 / $805.10