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Washington rates for HCPCS 0695T

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.85 / $162.85 / $162.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.85 / $162.85 / $243.55
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.94 / $270.30 / $714.54
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.77 / $355.40 / $1,357.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.49 / $479.49 / $479.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.51 / $300.16 / $316.24
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.94 / $202.94 / $215.70
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.34 / $340.88 / $428.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.98 / $302.83 / $417.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.12 / $259.85 / $436.80