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Washington rates for HCPCS 25251

Removal of wrist prosthesis; complicated, including total wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,337.66 / $2,769.52 / $18,711.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.03 / $924.28 / $2,032.96
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,346.67 / $9,172.83 / $17,546.59
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.48 / $1,672.22 / $6,381.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.83 / $568.48 / $3,740.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.11 / $1,304.25 / $2,212.98
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.25 / $1,538.63 / $3,280.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.07 / $1,494.95 / $2,824.57
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
$1,025.08 / $1,382.88 / $1,468.64
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$971.23 / $986.25 / $2,961.46
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,115.97 / $1,593.58 / $1,988.36
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
$990.53 / $1,425.85 / $1,898.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,950.00 / $3,297.00 / $11,941.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.59 / $1,184.55 / $2,063.40
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.11 / $610.11 / $792.16