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Washington rates for HCPCS 21615

Excision 1st &/Cervical Rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,124.24 / $5,132.00 / $22,024.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$852.76 / $18,220.34 / $35,644.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.97 / $765.00 / $870.49
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.33 / $1,235.86 / $1,667.86
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.00 / $1,192.97 / $1,250.22
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.82 / $825.82 / $852.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,233.34 / $18,633.84 / $35,644.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $5,547.00 / $19,271.00