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Washington rates for HCPCS 57415

Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $4,897.79 / $18,620.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $3,981.07 / $3,981.07
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $407.38 / $7,943.28
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $323.59 / $354.81
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $245.47 / $245.47
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $8,912.51 / $16,982.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $11,220.18 / $19,498.45