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Washington rates for HCPCS 0491T

Ablative laser treatment, non-contact, full field and fractional ablation, open wound, per day, total treatment surface area; first 20 sq cm or less

Insurance Carrier
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$892.68 / $1,049.25 / $1,049.25
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.91 / $485.91 / $485.91
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.36 / $353.00 / $1,181.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.36 / $303.27 / $503.74
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.19 / $304.05 / $391.72