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Washington rates for HCPCS 28750

Arthrodesis, great toe; metatarsophalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,054.04 / $9,350.64 / $32,098.99
Aetna
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$24,283.63 / $24,283.63 / $24,283.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.59 / $897.65 / $2,942.15
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.35 / $847.96 / $8,213.09
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,722.60 / $20,273.81 / $28,095.15
Asuris Northwest Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$149.66 / $264.92 / $264.92
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$980.50 / $1,548.88 / $5,798.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.20 / $1,075.31 / $11,732.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.59 / $1,251.04 / $2,217.42
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.78 / $1,344.35 / $7,904.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.78 / $1,308.48 / $5,090.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.89 / $464.71 / $1,570.58
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$982.38 / $1,523.30 / $1,581.68
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,053.68 / $1,071.21 / $9,446.76
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.62 / $1,393.97 / $1,946.22
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,146.66 / $20,262.22 / $38,781.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.42 / $1,323.81 / $1,923.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $5,547.00 / $19,271.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$965.58 / $1,264.45 / $2,254.44
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.12 / $644.05 / $858.18