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Washington rates for HCPCS 20926

Tissue Grafts Other

Insurance Carrier
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,138.20 / $8,138.20 / $26,542.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,930.78 / $2,625.27 / $2,625.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,568.16 / $1,657.43 / $1,985.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.66 / $768.49 / $839.51