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Washington rates for HCPCS 0121U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.98 / $2,367.78 / $3,635.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.88 / $269.88 / $432.82
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.66 / $835.60 / $2,418.69
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.92 / $458.28 / $995.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.57 / $1,042.58 / $1,314.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.22 / $585.22 / $731.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $50.00 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.28 / $560.12 / $891.10
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.20 / $763.80 / $1,400.30
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.82 / $534.66 / $723.06
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.66 / $835.60 / $1,400.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.90 / $509.20 / $1,374.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.86 / $213.86 / $509.20
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.14 / $229.14 / $263.77