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Washington rates for HCPCS 38200

Injection Procedure Splenoportograpy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.38 / $2,769.52 / $18,711.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.38 / $166.52 / $350.45
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,300.00 / $1,300.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.48 / $294.87 / $1,870.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.59 / $233.38 / $385.28
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.65 / $273.07 / $353.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.65 / $279.77 / $350.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.72 / $213.38 / $355.75
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.10 / $250.87 / $262.64
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.05 / $173.05 / $174.57
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.44 / $299.05 / $363.66
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.48 / $250.59 / $338.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.00 / $666.00 / $6,216.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.94 / $249.60 / $388.56
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.69 / $133.69 / $133.69