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Washington rates for HCPCS 25931

Transmetacarpal Amputation Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,059.45 / $2,057.67 / $22,024.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.36 / $1,059.45 / $2,077.92
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.26 / $8,957.00 / $17,546.59
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.72 / $1,845.94 / $7,059.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.97 / $870.49 / $3,740.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.57 / $1,470.09 / $2,489.65
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$757.33 / $1,562.71 / $3,280.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.13 / $1,545.30 / $2,824.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.85 / $468.89 / $1,554.22
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,005.34 / $1,399.08 / $1,624.75
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$986.25 / $1,096.26 / $2,961.46
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.24 / $1,790.80 / $2,199.71
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,948.17 / $9,167.59 / $17,546.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,118.04 / $1,577.41 / $2,100.05
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
$899.50 / $1,310.47 / $2,342.29
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.71 / $666.71 / $887.52