go back

Washington rates for HCPCS 88304

Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $47.86 / $173.78
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.94 / $25.70 / $95.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.95 / $35.48 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $36.31 / $85.11
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$5.37 / $11.75 / $21.38
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.15 / $37.15 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $44.67 / $64.57
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$5.89 / $11.22 / $16.60
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.79 / $33.11 / $48.98
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $97.72 / $223.87
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.45 / $26.30 / $223.87
Kaiser Permanente
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$35.48 / $72.44 / $223.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $91.20 / $125.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.45 / $22.39 / $30.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.48 / $69.18 / $95.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $32.36 / $33.11
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $81.28 / $112.20
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.20 / $21.88 / $22.91
Pacific Source
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$46.77 / $58.88 / $64.57
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.13 / $19.50 / $25.12
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.74 / $57.54 / $89.13
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $95.50 / $117.49
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.14 / $24.55 / $30.20
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.65 / $69.18 / $87.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $79.43 / $102.33
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.14 / $20.42 / $25.70
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.74 / $58.88 / $85.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $19.95 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $40.74 / $85.11
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.76 / $10.23 / $24.55
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.78 / $30.20 / $61.66
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $42.66
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.47 / $10.47 / $10.47
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.36 / $32.36 / $32.36