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Washington rates for HCPCS 80155

Caffeine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $72.44 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $30.90 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $63.10 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $39.81 / $54.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $29.51 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $57.54
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $67.61 / $114.82
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $34.67 / $46.77
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $57.54 / $107.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $34.67 / $38.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $46.77 / $46.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $16.22 / $38.90
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $69.18