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Washington rates for HCPCS 84155

Protein, total, except by refractometry; serum, plasma or whole blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $19.85 / $65.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $3.29 / $5.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.20 / $2.54
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.85 / $10.09 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $3.47 / $6.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $7.53 / $13.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.58 / $4.91 / $7.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $3.54 / $3.89
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.67 / $3.85 / $11.28
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.30 / $3.67 / $3.67
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.30 / $3.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.22 / $6.06 / $10.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $3.67 / $9.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.54 / $1.54 / $3.67
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.90 / $1.90 / $1.90