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Washington rates for HCPCS 15110

Epidrm Agrft T/A/L 1st 100 Cm/&/1% Bdy Inft/Chld

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,066.81 / $2,045.62 / $17,100.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,144.93 / $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
$951.98 / $1,429.70 / $2,131.73
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,098.84 / $1,519.56 / $1,679.69
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.83 / $1,120.72 / $1,145.70
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