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Washington rates for HCPCS 25250

Removal Wrist Prosthesis Separate Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$998.65 / $2,769.52 / $18,711.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.29 / $692.71 / $1,501.49
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,701.16 / $4,589.03 / $11,500.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.57 / $1,230.38 / $4,761.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.83 / $568.48 / $1,985.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.10 / $973.71 / $1,656.50
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.79 / $1,124.06 / $1,781.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.21 / $1,085.01 / $1,621.64
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
$736.44 / $1,018.40 / $1,096.11
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.44 / $723.44 / $1,613.81
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.81 / $1,189.36 / $1,484.02
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,434.81 / $4,589.03 / $8,712.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.81 / $1,064.18 / $1,416.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.00 / $1,436.00 / $6,857.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.12 / $889.13 / $1,561.23
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.06 / $456.06 / $596.66