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Washington rates for HCPCS 13153

Repair, complex, eyelids, nose, ears and/or lips; each additional 5 cm or less (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.80 / $500.53 / $17,930.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.53 / $185.13 / $421.69
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.70 / $620.66 / $26,542.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.00 / $367.38 / $1,366.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.10 / $731.00 / $731.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.04 / $277.44 / $486.13
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.45 / $293.04 / $442.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.13 / $302.73 / $467.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.17 / $250.50 / $441.36
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.49 / $332.86 / $371.18
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.70 / $248.70 / $253.18
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.00 / $321.29 / $464.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.97 / $580.97 / $731.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.80 / $267.00 / $439.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.00 / $588.00 / $5,793.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.90 / $283.39 / $536.80
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.66 / $143.66 / $201.28