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Washington rates for HCPCS 51040

Cystostomy Cystotomy W/Drainage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$535.07 / $2,028.16 / $18,711.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,518.34 / $5,772.11 / $14,934.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,364.71 / $1,364.71 / $2,273.59
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.20 / $666.71 / $6,254.64
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.81 / $558.78 / $589.60
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.32 / $402.16 / $839.66
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,408.99 / $5,768.81 / $11,041.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,550.00 / $2,431.00 / $11,261.00