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Washington rates for HCPCS 15920

Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $7,762.47 / $20,892.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,122.02 / $2,818.38
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,445.44 / $8,128.31
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,202.26 / $1,288.25
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $870.96 / $977.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $8,128.31 / $15,488.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $8,912.51 / $16,595.87