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Washington rates for HCPCS 25020

Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; without debridement of nonviable muscle and/or nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,121.08 / $5,128.00 / $20,680.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,613.81 / $4,589.03 / $11,500.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.97 / $870.49 / $1,985.59
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.55 / $1,218.04 / $1,955.94
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$813.98 / $1,220.71 / $1,501.47
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.44 / $1,020.61 / $1,613.81
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,434.81 / $4,589.03 / $8,712.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,129.00 / $11,941.00