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Washington rates for HCPCS 54840

Excision Spermatocele W/Wo Epididymectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.23 / $6,882.32 / $17,930.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,518.34 / $5,772.11 / $14,934.15
Asuris Northwest Health
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,613.49 / $8,658.17 / $16,750.13
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
$423.61 / $743.25 / $5,967.13
Kaiser Permanente
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,967.13 / $6,254.64 / $15,048.64
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.20 / $621.09 / $649.90
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.54 / $443.29 / $839.66
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,211.81 / $5,768.81 / $11,041.39
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,317.72 / $8,653.21 / $16,562.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,550.00 / $2,431.00 / $11,261.00