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Washington rates for HCPCS 28755

Arthrodesis Great Toe Interphalangeal Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.03 / $1,377.81 / $18,711.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,589.00 / $19,823.93 / $38,781.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.20 / $1,075.31 / $8,315.84
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.87 / $776.38 / $6,166.72
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$609.42 / $977.53 / $1,015.72
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.41 / $692.81 / $6,526.97
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,146.66 / $20,262.22 / $38,781.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $2,408.00 / $10,522.00