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Washington rates for HCPCS 51880

Closure of cystostomy (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.10 / $2,769.52 / $18,711.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,968.10 / $9,879.37 / $18,898.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,353.44 / $2,353.44 / $3,920.80
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.55 / $1,050.23 / $6,620.15
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.80 / $901.15 / $938.00
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.25 / $639.79 / $1,470.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,406.33 / $9,873.73 / $18,898.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,550.00 / $2,431.00 / $11,261.00