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Washington rates for HCPCS 25109

Excision of tendon, forearm and/or wrist, flexor or extensor, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,004.43 / $5,128.00 / $21,917.86
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.94 / $8,957.00 / $17,546.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.00 / $870.49 / $3,740.43
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.92 / $1,139.13 / $3,280.24
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.07 / $1,033.14 / $1,099.47
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$722.99 / $749.94 / $2,961.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,948.17 / $9,167.59 / $17,546.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $2,408.00 / $10,522.00