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Washington rates for HCPCS 38115

Rpr Rptd Spleen Splenorrhaphy W/Wo Prtl Splenect

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.36 / $3,252.25 / $20,680.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,768.13 / $11,879.04
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
$1,200.01 / $2,449.66 / $3,158.54
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.75 / $2,461.87 / $2,592.23
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,745.41 / $1,745.41 / $1,768.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.00 / $1,120.00 / $5,793.00