go back

Washington rates for HCPCS G0250

Physician Review Interpretation And Patient Management Of Home Inr Testing For A Patient With Mechanical Heart Valve(S) Who Meets Other Coverage Criteria; Per 4 Tests (Does Not Require Face-To-Faces Ervice)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.25 / $6.25 / $6.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.25 / $8.10 / $13.48
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.44 / $80.00 / $85.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.09 / $20.02 / $72.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $7.74 / $7.74
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.36 / $15.66 / $23.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $14.85 / $23.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $70.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.07 / $17.12 / $17.69
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.87 / $10.87 / $10.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.69 / $19.78 / $23.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.09 / $16.35 / $22.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.26 / $14.59 / $26.11
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.18 / $7.18 / $9.11