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Washington rates for HCPCS 28490

Cltx Fx Grt Toe Phlx/Phlg W/O Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.90 / $419.29 / $14,464.32
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$141.68 / $215.60 / $294.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.55 / $177.87 / $372.15
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.26 / $626.41 / $1,278.36
Asuris Northwest Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$236.96 / $416.44 / $416.44
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.04 / $313.58 / $1,116.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.80 / $239.80 / $239.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.35 / $256.85 / $440.49
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.97 / $231.29 / $372.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.13 / $236.77 / $367.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.99 / $116.13 / $292.60
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.94 / $272.69 / $294.80
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.75 / $190.26 / $215.46
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.08 / $295.01 / $362.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.36 / $667.91 / $1,278.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.38 / $267.80 / $357.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.00 / $546.00 / $5,793.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.51 / $237.04 / $408.82
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.13 / $146.49 / $167.41