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Washington rates for HCPCS 25922

Disarticulation Thru Wrist Sec Closure/Scar Revj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$994.18 / $5,128.00 / $20,680.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.77 / $839.20 / $1,702.17
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,613.81 / $4,554.63 / $11,500.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.89 / $1,490.60 / $5,737.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.97 / $870.49 / $1,985.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.25 / $1,158.90 / $1,999.63
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.44 / $1,251.48 / $1,963.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.90 / $1,222.02 / $1,741.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.68 / $373.32 / $1,279.82
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.51 / $1,136.28 / $1,320.57
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.44 / $879.27 / $1,613.81
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,006.34 / $1,436.34 / $1,787.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,434.81 / $4,552.03 / $8,712.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.74 / $1,282.08 / $1,706.89
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
$737.00 / $1,032.83 / $1,842.84
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.05 / $546.05 / $718.26