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Washington rates for HCPCS 15937

Exc Sac Pr Ulc Prepj Musc/Myoq Flap/Skn Grf Ostc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,339.58 / $5,128.00 / $20,680.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,423.56 / $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
$1,192.95 / $1,749.26 / $2,830.88
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,435.57 / $1,917.84 / $2,089.64
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.83 / $1,407.02 / $1,423.56
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,770.96 / $5,167.93 / $9,885.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.00 / $1,120.00 / $6,857.00