go back

Washington rates for HCPCS 86890

Autologous blood or component, collection processing and storage; predeposited

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.53 / $115.53 / $348.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.20 / $115.53 / $115.53
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.19 / $426.26 / $639.47
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.05 / $93.65 / $198.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.19 / $32.00 / $162.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.14 / $84.25 / $133.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $84.50
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.00 / $142.03 / $413.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.65 / $93.65 / $93.65
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.27 / $484.04 / $920.49
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.96 / $133.97 / $256.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.82 / $43.35 / $103.22
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.18 / $21.18 / $54.45