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Washington rates for HCPCS 54150

Circumcision, using clamp or other device with regional dorsal penile or ring block

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $524.81 / $13,182.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $2,290.87
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $269.15 / $2,570.40
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $288.40 / $302.00
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $204.17 / $204.17
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $5,754.40 / $10,964.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $7,762.47 / $12,589.25