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Washington rates for HCPCS 25671

Prq Skeletal Fixj Distal Radioulnar Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$997.99 / $2,769.52 / $18,711.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,961.46 / $9,172.83 / $17,546.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.83 / $568.48 / $3,740.43
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$548.10 / $1,125.61 / $3,280.24
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$743.82 / $1,017.73 / $1,102.82
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.10 / $752.22 / $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 / $2,769.18 / $10,522.00