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Washington rates for HCPCS 26525

Capsulectomy/Capsulotomy Iphal Joint Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.96 / $5,128.00 / $18,800.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,029.23 / $4,554.63 / $11,500.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.97 / $870.49 / $1,985.59
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.17 / $1,337.80 / $2,034.92
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$901.94 / $1,261.75 / $1,396.95
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.44 / $944.05 / $1,613.81
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,323.45 / $4,552.03 / $8,712.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.00 / $1,436.00 / $6,857.00