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Washington rates for HCPCS 28305

Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,238.38 / $5,116.62 / $20,680.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,383.83 / $20,273.81 / $38,781.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.97 / $870.49 / $11,540.93
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$721.16 / $1,468.61 / $10,121.02
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$939.82 / $1,285.06 / $1,366.80
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.27 / $932.28 / $9,383.83
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
$3,028.00 / $5,547.00 / $19,271.00