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Washington rates for HCPCS 15005

Prep Site F/S/N/H/F/G/M/D Gt Addl 100 Sq Cm/1pct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.44 / $323.42 / $14,464.32
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.55 / $405.71 / $12,000.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$22.08 / $40.57 / $40.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.10 / $731.00 / $731.00
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.73 / $189.14 / $284.52
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.86 / $224.90 / $238.52
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.55 / $158.55 / $159.04
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.79 / $908.79 / $1,144.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.00 / $588.00 / $5,793.00