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Washington rates for HCPCS 49600

Rpr Small Omphalocele W/Primary Closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,002.91 / $4,500.00 / $21,917.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.22 / $951.22 / $1,891.09
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,193.67 / $9,558.29 / $26,542.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.93 / $1,749.23 / $6,527.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.20 / $1,075.31 / $3,991.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.20 / $1,308.09 / $2,212.26
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$811.12 / $1,548.82 / $3,651.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.88 / $1,471.37 / $2,689.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.48 / $820.42 / $1,723.74
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.65 / $1,346.80 / $1,486.06
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$998.41 / $1,460.91 / $2,583.64
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.92 / $1,677.78 / $2,025.07
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,069.92 / $9,804.29 / $18,754.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,179.14 / $1,458.12 / $1,917.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $2,759.00 / $11,941.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.79 / $1,260.82 / $2,128.92
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.46 / $780.17 / $780.17