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Washington rates for HCPCS 27695

Repair, primary, disrupted ligament, ankle; collateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$828.45 / $6,072.60 / $27,027.55
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,713.85 / $19,823.93 / $38,781.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.25 / $761.81 / $11,077.44
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.78 / $1,046.16 / $8,788.45
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.34 / $917.90 / $990.93
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.62 / $675.90 / $8,539.79
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,146.66 / $20,262.22 / $38,781.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,129.00 / $11,941.00