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Washington rates for HCPCS 27880

Amputation Leg Through Tibia&Fibula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,115.40 / $2,590.76 / $22,024.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.58 / $46,149.28 / $90,281.73
Asuris Northwest Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$123.85 / $407.22 / $407.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.00 / $870.49 / $870.49
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$878.50 / $1,827.45 / $2,489.23
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.77 / $1,708.29 / $1,798.28
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,210.42 / $1,210.42 / $1,226.58
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,050.80 / $47,196.58 / $90,281.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $8,600.00 / $24,236.00