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Washington rates for HCPCS 83864

Mucopolysaccharides, acid, quantitative

Facilitymedian $46 · 10th–90th $28$1580%10%10th90th$46Professionalmedian $26 · 10th–90th $15$430%20%10th90th$26$10.0$20.0$50.0$100.0$200.0

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
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $53.70 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $25.70 / $42.66
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $42.66 / $57.54
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $25.70 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $63.10 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $30.20 / $40.74
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $25.12 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $57.54
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $28.18
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $45.71 / $89.13
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $33.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $42.66 / $75.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $25.70 / $28.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $33.88 / $33.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $12.02 / $30.20
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $14.79 / $51.29