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Washington rates for HCPCS 01990

Physiological support for harvesting of organ(s) from brain-dead patient

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $562.34 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $47.86 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $467.74 / $645.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $162.18
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $416.87 / $549.54
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $588.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $512.86 / $645.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $58.88 / $83.18
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $138.04