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Washington rates for HCPCS 15050

Pinch Graft 1/Mlt Sm Ulcer Tip/Oth Ar Up To 2 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$799.01 / $1,480.92 / $17,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.63 / $646.11 / $1,448.54
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$804.53 / $1,848.40 / $3,936.16
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.21 / $1,220.22 / $4,336.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.44 / $777.59 / $906.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.08 / $868.15 / $1,583.83
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.89 / $853.86 / $1,425.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.95 / $894.21 / $1,440.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.96 / $297.73 / $1,211.79
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.13 / $1,012.32 / $1,183.89
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.51 / $804.53 / $807.52
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.16 / $1,085.04 / $1,485.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.13 / $1,778.80 / $3,404.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.54 / $905.90 / $1,445.52
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
$670.80 / $897.36 / $1,692.90
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.98 / $506.98 / $653.39