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Washington rates for HCPCS 26531

Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint

Facilitymedian $1,660 · 10th–90th $813–$24,5470%5%10th90th$1,660$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $9,772.37 / $28,183.83
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $19,054.61 / $38,904.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,479.11 / $11,481.54
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $1,318.26 / $11,748.98
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $1,202.26 / $1,288.25
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $891.25 / $3,162.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $19,952.62 / $38,904.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $20,892.96 / $41,686.94