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Washington rates for HCPCS 11770

Excision Pilonidal Cyst/Sinus Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.22 / $5,116.62 / $15,502.80
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,241.82 / $7,873.79 / $15,720.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.92 / $1,110.00 / $2,846.84
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.50 / $420.37 / $1,918.07
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.77 / $622.44 / $1,756.22
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.62 / $494.68 / $1,241.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,221.67 / $8,047.87 / $15,403.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,232.00 / $1,981.00 / $10,522.00