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Washington rates for HCPCS 83661

Fetal Lung Maturity Lecithin Sphingomyelin Ratio

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.67 / $37.22 / $121.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.01 / $20.67 / $37.22
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.09 / $42.66 / $200.11
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.86 / $20.01 / $41.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.21 / $39.86 / $64.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $29.03 / $43.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.65 / $21.21 / $23.33
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.99 / $21.99 / $48.54
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.99 / $32.99 / $60.47
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.79 / $19.79 / $19.79
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.29 / $36.09 / $60.47
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.48 / $21.99 / $59.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.29 / $20.89 / $21.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.24 / $9.24 / $21.99
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.90 / $9.90 / $11.39