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Washington rates for HCPCS 41155

Glossectomy; composite procedure with resection floor of mouth, mandibular resection, and radical neck dissection (Commando type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,183.60 / $6,787.40 / $20,680.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $4,061.82 / $38,136.01
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
$2,887.96 / $5,833.15 / $7,635.18
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,322.29 / $5,764.72 / $5,954.96
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,016.30 / $4,016.30 / $4,061.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.00 / $1,120.00 / $5,793.00