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Washington rates for HCPCS 14301

Adjnt Tis Trnsfr/Reargmt Any Area 30.1-60 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,425.25 / $6,009.64 / $18,894.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.78 / $1,109.18 / $2,574.08
Aetna
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$25.02 / $121.98 / $920.60
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,489.36 / $9,941.33 / $19,448.18
Asuris Northwest Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$222.35 / $397.38 / $1,052.31
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.56 / $2,249.19 / $8,026.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$201.13 / $235.28 / $283.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.92 / $2,639.00 / $4,636.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,068.27 / $1,653.67 / $2,918.33
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.00 / $1,886.82 / $3,286.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.08 / $1,988.07 / $3,123.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.23 / $481.59 / $2,162.71
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,447.80 / $2,057.57 / $2,824.53
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,313.10 / $1,489.36 / $1,961.22
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.34 / $2,036.20 / $2,730.06
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,832.97 / $10,161.12 / $19,448.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.71 / $1,694.50 / $2,631.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,691.40 / $20,943.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.99 / $1,637.18 / $3,099.90
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.02 / $939.02 / $1,191.58