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Washington rates for HCPCS 41015

Xtroral I&D Absc Cst/Hmtma Floor Mouth Sublngl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$554.92 / $1,023.42 / $14,464.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.12 / $427.10 / $1,023.42
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.87 / $1,775.78 / $12,000.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.67 / $829.71 / $2,982.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.19 / $568.48 / $646.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.54 / $658.19 / $1,144.63
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.27 / $693.86 / $1,085.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.20 / $688.43 / $1,030.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.61 / $449.34 / $953.51
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.49 / $777.20 / $867.65
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.81 / $509.46 / $547.94
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.79 / $715.68 / $1,038.79
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,011.08 / $1,558.33 / $2,982.61
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.20 / $695.05 / $935.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.00 / $461.76 / $1,875.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.40 / $701.80 / $1,152.80
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.09 / $334.32 / $449.90