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Washington rates for HCPCS 35372

Teaec W/Wo Patch Graft Deep Profunda Femoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,199.89 / $5,132.00 / $20,680.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,293.77 / $13,873.67 / $27,141.02
Asuris Northwest Health
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$16,543.65 / $21,282.77 / $41,173.79
Asuris Northwest Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$131.47 / $432.80 / $432.80
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,198.93 / $2,090.50 / $17,411.84
Kaiser Permanente
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$17,411.84 / $18,141.72 / $43,648.89
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,433.64 / $1,802.04 / $1,942.08
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,293.77 / $1,293.77 / $1,307.02
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,837.80 / $14,188.51 / $27,141.02
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$16,256.70 / $21,282.77 / $40,711.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $11,540.00 / $20,708.00