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Washington rates for HCPCS 28104

Exc/Curtg Bone Cyst/B9 Tumortarsal/Metatarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.15 / $1,427.38 / $14,464.32
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,682.60 / $9,167.59 / $16,394.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$93.62 / $165.01 / $165.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.25 / $761.81 / $3,740.43
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.03 / $814.31 / $2,806.97
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.45 / $1,005.00 / $1,057.26
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.15 / $721.15 / $2,961.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,948.17 / $9,167.59 / $17,546.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $2,408.00 / $10,522.00