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Washington rates for HCPCS 54057

Dstrj Lesion Penis Simple Laser

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.36 / $364.57 / $14,464.32
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.24 / $5,167.93 / $12,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,394.86 / $1,394.86 / $2,323.83
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.40 / $242.00 / $1,749.26
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.36 / $258.67 / $288.77
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.35 / $196.97 / $911.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,770.96 / $5,167.93 / $9,885.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$879.00 / $1,689.00 / $7,385.00