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Washington rates for HCPCS 27881

Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,070.59 / $2,455.75 / $22,024.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.09 / $18,220.34 / $35,644.43
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
$840.82 / $1,729.80 / $2,368.17
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,234.33 / $1,587.49 / $1,698.45
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,149.26 / $1,149.26 / $1,152.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,233.34 / $18,633.84 / $35,644.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,853.00 / $5,643.00 / $19,271.00