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Washington rates for HCPCS 15750

Flap Neurovascular Pedicle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,702.61 / $4,500.00 / $18,711.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,961.22 / $10,166.93 / $19,448.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.00 / $906.00 / $4,636.17
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,178.55 / $1,969.18 / $4,240.71
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,306.21 / $1,766.79 / $1,882.70
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,246.20 / $1,284.17 / $1,961.22
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,832.97 / $10,161.12 / $19,448.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.00 / $2,428.00 / $11,941.00