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Washington rates for HCPCS 25565

Closed Tx Radial&Ulnar Shaft Fractures W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$872.30 / $4,037.71 / $10,589.38
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$510.38 / $753.70 / $1,014.32
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,708.27 / $4,554.63 / $11,500.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$854.11 / $1,534.41 / $1,534.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.25 / $761.81 / $1,985.59
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.55 / $984.20 / $1,490.07
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.67 / $986.91 / $1,081.38
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.44 / $707.59 / $1,613.81
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,953.48 / $4,552.03 / $8,712.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.00 / $546.00 / $5,793.00