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Washington rates for HCPCS 12016

Simple Repair F/E/E/N/L/M 12.6cm-20.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.25 / $528.62 / $17,100.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.17 / $1,130.00 / $2,499.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$334.00 / $564.00 / $906.00
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.62 / $312.98 / $564.23
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.76 / $390.65 / $444.55
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.57 / $297.17 / $300.70
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.75 / $1,129.34 / $2,161.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.00 / $588.00 / $5,793.00