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Washington rates for HCPCS 25909

Amp Forearm Thru Radius&Ulna Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.51 / $5,128.00 / $20,680.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.67 / $881.59 / $1,930.10
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.76 / $19,056.41 / $38,781.51
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.72 / $1,592.91 / $6,074.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.00 / $870.49 / $870.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.17 / $1,243.66 / $2,107.65
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.95 / $1,500.75 / $6,248.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.88 / $1,432.70 / $5,065.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.68 / $384.31 / $1,365.59
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$963.83 / $1,312.53 / $1,398.29
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$926.84 / $926.84 / $953.76
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,064.08 / $1,517.25 / $1,893.12
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,546.63 / $20,262.22 / $38,781.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.25 / $1,357.55 / $1,822.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $2,408.00 / $10,522.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.28 / $1,156.14 / $1,999.54
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.95 / $581.95 / $755.90