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Washington rates for HCPCS 28495

Cltx Fx Grt Toe Phlx/Phlg W/Manj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.85 / $223.47 / $467.28
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.12 / $373.12 / $373.12
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.17 / $381.47 / $1,377.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.13 / $310.82 / $533.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.38 / $288.50 / $443.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.89 / $153.41 / $426.57
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.17 / $354.47 / $455.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.13 / $324.58 / $448.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.00 / $280.50 / $511.57
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.69 / $173.72 / $210.81