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Washington rates for HCPCS 12004

Simple Rpr Scalp/Neck/Ax/Genit/Trunk 7.6-12.5cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.62 / $308.19 / $7,984.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.93 / $131.82 / $303.14
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.58 / $567.02 / $1,107.58
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.00 / $252.73 / $1,072.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.50 / $174.03 / $352.23
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.20 / $183.40 / $356.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.91 / $184.80 / $356.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.11 / $150.05 / $267.18
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.63 / $242.54 / $268.67
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.12 / $177.12 / $183.26
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.40 / $186.65 / $330.90
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.90 / $567.35 / $1,085.27
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.33 / $180.64 / $320.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.29 / $710.68 / $1,367.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.66 / $201.10 / $370.66
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.84 / $74.84 / $145.88