go back

Washington rates for HCPCS D4270

Pedicle Soft Tissue Graft Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.17 / $374.17 / $374.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.83 / $355.78 / $374.17
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,254.48 / $3,728.65 / $3,728.65
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.00 / $1,819.54 / $2,407.28
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.15 / $717.75 / $2,059.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.15 / $690.52 / $871.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $50.00 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.21 / $529.71 / $1,183.28
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.91 / $705.49 / $705.49