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Washington rates for HCPCS D0470

Diagnostic Casts

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.04 / $49.95 / $67.05
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $162.84 / $162.84
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.37 / $221.34 / $267.83
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.88 / $71.39 / $116.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.17 / $85.51 / $116.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $50.00 / $80.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.15 / $60.78 / $61.64
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.79 / $122.79 / $122.79