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Washington rates for HCPCS C9250

Human Plasma Fibrin Sealant Vapor-Heated Solvent Detergent (Artiss) 2 Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.57 / $187.57 / $1,868.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.54 / $187.57 / $187.57
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.24 / $203.53 / $442.59
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.84 / $790.40 / $964.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.40 / $195.03 / $309.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.57 / $187.57 / $187.57
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.87 / $482.57 / $1,018.85
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
$138.31 / $79,999.20 / $79,999.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.82 / $186.48 / $304.56
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.31 / $207.47 / $309.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.31 / $180.38 / $193.87
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.68 / $160.68 / $160.68