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Washington rates for HCPCS C1765

Adhesion barrier

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.46 / $3.46 / $5.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.46 / $3.46 / $1,486.90
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $483.60
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.00 / $375.85 / $375.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.98 / $217.98 / $217.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.00 / $1,807.00 / $1,807.00