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Washington rates for HCPCS 89264

Sprm Id From Tstis Tiss Frsh/Cryoprsrvd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.83 / $497.61 / $497.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.83 / $332.17 / $381.65
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.37 / $168.65 / $297.08
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.30 / $108.00 / $198.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $114.47 / $250.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.45 / $136.81 / $152.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.00 / $131.00 / $238.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.30 / $156.49 / $292.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.00 / $108.00 / $139.86