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Washington rates for HCPCS 12037

Repair Intermediate S/A/T/E >30.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.96 / $1,238.63 / $17,100.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.51 / $5,167.93 / $11,429.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.00 / $906.00 / $2,323.83
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.00 / $734.08 / $1,530.93
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.00 / $898.47 / $1,435.73
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.85 / $669.96 / $1,040.51
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,351.17 / $5,167.93 / $9,885.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.00 / $1,120.00 / $6,857.00