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Washington rates for HCPCS 01636

Anes Arthrs Interthoracoscapular Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.50 / $1,100.80 / $1,391.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.00 / $50.50 / $1,451.04
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.00 / $1,204.00 / $7,680.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.00 / $1,035.00 / $1,423.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $174.90 / $556.50
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.00 / $832.00 / $1,104.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.00 / $1,092.00 / $1,362.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.00 / $1,032.00 / $1,347.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $62.00 / $90.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.68 / $275.68 / $275.68