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Washington rates for HCPCS 83992

Phencyclidine (PCP)

Facilitymedian $49 · 10th–90th $14$720%20%10th90th$49Professionalmedian $32 · 10th–90th $11$890%5%10th90th$32$2.0$5.0$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
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $33.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $53.70
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.72
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $54.95 / $109.65
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $50.12 / $74.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.15 / $2.82 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $22.91 / $48.98
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $28.18 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $72.44 / $72.44
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $72.44 / $72.44
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $36.31 / $48.98
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $70.79 / $102.33
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $54.95 / $109.65
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $31.62 / $72.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $14.13 / $35.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $18.20 / $41.69
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $25.12