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Washington rates for HCPCS D0170

Re-Evaluation - Limited Problem Focused

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.79 / $25.79 / $25.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.96 / $21.32 / $25.79
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.37 / $217.62 / $217.62
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.00 / $185.70 / $193.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.28 / $22.28 / $22.28
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.72 / $34.10 / $67.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.73 / $31.18 / $51.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $50.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.47 / $43.29 / $44.22
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.68 / $59.42 / $59.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.00 / $51.00 / $62.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.00 / $41.00 / $41.00