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Washington rates for HCPCS 15936

Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,155.50 / $5,128.00 / $20,680.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,234.35 / $5,367.06 / $11,429.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.68 / $1,285.00 / $2,323.83
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,143.00 / $1,670.81 / $2,435.42
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,239.34 / $1,713.86 / $1,809.67
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.83 / $1,217.66 / $1,234.35
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