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Washington rates for HCPCS 44139

Moblj Splenic Flxr Pfrmd Conjunct W/Partial Colct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.24 / $310.99 / $20,680.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $200.00 / $1,300.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$16.51 / $54.19 / $54.19
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
$113.77 / $242.65 / $298.41
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.95 / $227.10 / $238.52
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.72 / $161.72 / $162.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.00 / $1,120.00 / $5,793.00