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Washington rates for HCPCS 92928

Prq Trluml Coronary Stent W/Angio One Art/Brnch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$981.41 / $7,256.76 / $24,258.74
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$362.97 / $496.66 / $802.80
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$145.19 / $198.67 / $321.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.37 / $725.93 / $2,233.17
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,483.30 / $31,176.05 / $59,636.26
Asuris Northwest Health
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$18,085.50 / $30,081.88 / $30,081.88
Asuris Northwest Health
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$4,521.38 / $7,520.47 / $7,520.47
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.66 / $1,351.69 / $5,031.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,566.50 / $17,691.00 / $36,898.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.73 / $1,168.16 / $1,703.45
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$795.75 / $1,407.57 / $22,303.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.75 / $1,264.08 / $8,117.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.79 / $876.57 / $1,430.67
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.03 / $1,090.90 / $1,175.04
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.78 / $782.78 / $785.58
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.66 / $1,305.70 / $1,562.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,216.27 / $31,176.05 / $59,636.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.34 / $1,130.07 / $1,522.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $11,540.00 / $22,177.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.17 / $1,030.08 / $1,671.16