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Washington rates for HCPCS G0204

Dx mammo incl cad bi

Insurance Carrier
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $532.20 / $532.20
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.64 / $742.51 / $742.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.04 / $181.04 / $227.65
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.11 / $300.64 / $347.90