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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
$4,168.69 / $7,244.36 / $20,892.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $707.95 / $954.99
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $5,370.32 / $7,585.78
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $5,754.40 / $5,888.44
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $3,981.07 / $4,073.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,258.93 / $5,754.40