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Washington rates for HCPCS 42550

Injection procedure for sialography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $1,000.00 / $17,782.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $141.25 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $162.18 / $398.11
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $151.36 / $346.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $151.36 / $338.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $56.23
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $275.42 / $309.03
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $213.80
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $208.93 / $407.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $204.17 / $346.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $660.69 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $158.49 / $363.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $100.00 / $213.80