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Washington rates for HCPCS 28660

Closed treatment of interphalangeal joint dislocation; without anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.95 / $521.00 / $13,750.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$119.43 / $174.46 / $232.97
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.22 / $626.41 / $1,278.36
Asuris Northwest Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$170.91 / $306.24 / $306.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.34 / $182.34 / $182.34
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.34 / $178.59 / $295.29
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.82 / $224.45 / $258.62
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.69 / $165.35 / $176.40
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.36 / $667.91 / $1,278.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.00 / $546.00 / $5,793.00