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Washington rates for HCPCS 42415

Exc Prtd Tum/Prtd Glnd Lat Dsj&Prsrv Facial Nr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,733.00 / $16,342.00 / $27,982.24
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,513.62 / $16,547.20 / $26,542.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$942.96 / $1,568.44 / $1,568.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,394.89 / $1,698.13 / $6,910.09
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,205.75 / $2,391.48 / $6,320.69
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,533.57 / $2,040.15 / $2,137.30
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.89 / $1,994.21 / $3,953.90
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,761.59 / $16,595.73 / $31,745.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $3,509.00 / $16,315.00