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Washington rates for HCPCS 27626

Arthrotomy, with synovectomy, ankle; including tenosynovectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,131.47 / $7,920.26 / $20,680.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,765.02 / $9,172.83 / $20,286.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.20 / $1,075.31 / $3,740.43
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$661.19 / $1,326.26 / $3,280.24
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.73 / $1,168.48 / $1,258.93
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$809.06 / $858.70 / $2,961.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,693.27 / $9,167.59 / $17,546.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,129.00 / $11,941.00