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Washington rates for HCPCS 25145

Sequestrectomy Forearm &/Wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$976.54 / $4,011.00 / $18,711.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.80 / $676.32 / $1,465.26
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,478.12 / $9,172.83 / $17,546.59
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.17 / $1,235.51 / $4,922.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.25 / $761.81 / $3,740.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.96 / $952.15 / $1,619.49
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.83 / $1,134.17 / $3,280.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.83 / $1,105.11 / $2,824.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.42 / $317.80 / $1,082.01
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$745.21 / $993.61 / $1,071.33
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.77 / $730.74 / $2,961.46
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.32 / $1,162.47 / $1,450.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,693.27 / $9,167.59 / $17,546.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.80 / $1,040.11 / $1,391.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,129.00 / $11,604.61 / $18,561.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.32 / $852.72 / $1,501.96
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.57 / $445.57 / $583.46