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Washington rates for HCPCS 0123U

Mchnl Frglty Rbc Shear Strs&Spectral Alys Prflg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.17 / $1,303.92 / $2,346.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $336.17 / $336.17
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.51 / $586.87 / $1,698.74
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.25 / $321.87 / $698.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.94 / $732.25 / $923.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.94 / $410.94 / $513.66
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
$321.87 / $393.39 / $625.85
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.63 / $536.44 / $983.48
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.99 / $375.51 / $507.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.51 / $586.87 / $983.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.22 / $357.63 / $964.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.19 / $150.19 / $357.63
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.93 / $160.93 / $185.25