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Washington rates for HCPCS C9364

Porcine Implant Permacol Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.39 / $18.39 / $18.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.30 / $18.39 / $18.39
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.00 / $47.12 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.19 / $82.19 / $97.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.39 / $18.39 / $36.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.39 / $18.39 / $18.39
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.66 / $63.66 / $63.66
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
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.47 / $19.55 / $40.70
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $15.00