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Washington rates for HCPCS 41250

Rpr Lac 2.5 Cm/< Mouth&/Ant Two-Thirds Tong

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.86 / $686.94 / $14,464.32
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.23 / $1,129.13 / $16,394.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.25 / $746.00 / $842.00
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.78 / $361.20 / $699.44
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.24 / $516.57 / $571.51
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.41 / $386.41 / $389.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.23 / $1,128.49 / $2,159.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.00 / $497.00 / $5,793.00