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Washington rates for HCPCS 38120

Laparoscopic Surgical Splenectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,352.43 / $5,128.00 / $22,024.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,160.00 / $22,189.40 / $38,538.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,005.16 / $1,076.00 / $1,258.00
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,131.59 / $2,231.84 / $9,096.45
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,508.27 / $2,034.54 / $2,133.28
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,427.40 / $1,427.40 / $1,455.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,916.23 / $29,154.55 / $55,801.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,900.00 / $4,686.00 / $19,271.00