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Washington rates for HCPCS 58100

Endometrial Bx W/Wo Endocervix Bx W/O Dilat Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.92 / $546.77 / $9,703.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$57.47 / $95.57 / $154.52
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$14.71 / $38.22 / $56.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.55 / $123.92 / $310.50
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$36.78 / $56.22 / $128.78
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$14.71 / $23.11 / $56.21
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.28 / $147.80 / $202.54
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.12 / $530.79 / $1,080.21
Asuris Northwest Health
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$126.65 / $228.87 / $228.87
Asuris Northwest Health
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$31.66 / $57.22 / $57.22
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.65 / $208.43 / $753.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.58 / $73.58 / $122.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.83 / $181.80 / $307.70
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.48 / $182.05 / $271.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.06 / $181.48 / $254.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.91 / $167.04 / $273.41
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.67 / $187.60 / $208.76
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.12 / $139.07 / $139.84
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.81 / $166.49 / $262.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.18 / $564.38 / $1,080.21
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.24 / $156.52 / $236.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.00 / $666.00 / $6,216.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.20 / $215.75 / $295.43