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Washington rates for HCPCS 28705

Arthrodesis Pantalar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,733.00 / $5,128.00 / $21,917.86
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,500.00 / $52,812.50 / $101,024.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.20 / $1,075.31 / $33,384.17
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,358.71 / $2,739.41 / $26,485.85
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,840.75 / $2,391.55 / $2,460.23
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,638.05 / $1,678.10 / $26,926.57
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,536.44 / $52,812.50 / $101,024.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $5,547.00 / $19,271.00