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Washington rates for HCPCS 80376

Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 4-6

Facilitymedian $48 · 10th–90th $10–$480%50%10th$48Professionalmedian $18 · 10th–90th $5–$500%10%20%10th90th$18$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $29.51 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $25.70 / $33.88
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $50.12 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $47.86 / $47.86
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $47.86 / $47.86
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $5.13
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $60.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $32.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $29.51 / $43.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $15.49 / $23.99
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.23 / $25.70
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $15.49