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Washington rates for HCPCS 54164

Frenulotomy of penis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.65 / $6,259.76 / $17,100.00
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
$241.50 / $439.53 / $5,967.13
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.12 / $371.18 / $393.29
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.30 / $268.26 / $839.66
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,211.81 / $5,768.81 / $11,041.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,550.00 / $2,431.00 / $11,261.00