go back

Washington rates for HCPCS A0428

Bls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.02 / $316.02 / $316.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.61 / $306.82 / $306.82
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.60 / $411.60 / $1,372.22
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.29 / $529.00 / $693.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $600.00 / $600.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.51 / $198.51 / $550.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.77 / $272.44 / $79,999.20
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.15 / $650.00 / $693.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.29 / $469.29 / $531.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.00 / $275.37 / $296.45