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Washington rates for HCPCS 38100

Splenectomy Total Separate Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,466.18 / $2,952.47 / $20,680.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,551.53 / $10,601.20
Asuris Northwest Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$159.43 / $524.39 / $524.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $870.49 / $947.00
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,084.38 / $2,202.62 / $2,864.19
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,641.01 / $2,199.63 / $2,308.15
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,551.53 / $1,551.53 / $1,574.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.00 / $1,120.00 / $5,793.00