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Washington rates for HCPCS 26121

Fasct Palm W/Wo Z-Plasty Tissue Reargmt/Skn Grft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$988.00 / $6,470.00 / $20,680.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.00 / $776.82 / $2,284.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.08 / $814.83 / $814.83
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,490.98 / $9,167.59 / $17,907.41
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.68 / $1,327.50 / $6,307.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.20 / $1,075.31 / $3,740.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.83 / $1,094.20 / $1,857.33
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.36 / $1,283.30 / $3,280.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.91 / $1,242.65 / $2,824.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.54 / $361.27 / $1,161.85
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$838.19 / $1,146.36 / $1,228.10
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.61 / $837.68 / $2,961.46
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.06 / $1,332.59 / $1,662.71
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,013.44 / $9,167.59 / $17,546.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.67 / $1,192.33 / $1,587.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $2,942.06 / $11,941.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.00 / $931.79 / $1,710.76
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.28 / $511.28 / $669.26