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Washington rates for HCPCS 15734

Musc Myocutaneous/Fasciocutaneous Flap Trunk

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,908.20 / $4,500.00 / $18,711.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,184.50 / $1,563.08 / $3,728.75
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,056.96 / $10,166.93 / $19,848.13
Asuris Northwest Health
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$3,954.11 / $6,576.94 / $6,576.94
Asuris Northwest Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$632.66 / $1,052.31 / $1,052.31
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,056.36 / $3,721.22 / $13,131.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.92 / $1,110.00 / $4,636.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,696.27 / $2,516.73 / $4,503.53
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,805.00 / $2,800.40 / $4,142.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,837.22 / $2,916.22 / $4,240.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.92 / $713.73 / $2,928.71
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,080.92 / $2,806.02 / $3,015.67
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,313.10 / $2,016.30 / $2,056.96
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,056.96 / $3,407.31 / $4,082.86
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
$2,032.33 / $2,765.86 / $3,891.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.00 / $2,428.00 / $11,941.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,864.24 / $2,267.73 / $4,317.39
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,598.52 / $1,598.52 / $1,598.52