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Washington rates for HCPCS 28665

Cltx Interphalangeal Joint Dislocation Req Anes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.65 / $194.18 / $414.27
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.59 / $321.68 / $1,150.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.24 / $260.27 / $433.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.46 / $259.95 / $383.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.37 / $203.07 / $356.23
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.98 / $293.26 / $374.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.66 / $271.93 / $370.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.23 / $245.30 / $435.83
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.27 / $138.24 / $168.63