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Washington rates for HCPCS G0294

Noncovered Procedure(S) Using Either No Anesthesia Or Local Anesthesia Only In A Medicare Qualifying Clinical Trial Per Day

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $12,214.00 / $27,982.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,420.00 / $1,420.00 / $27,982.24
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.30 / $113.65 / $219.86
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.57 / $107.93 / $259.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.00 / $97.00 / $79,999.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.93 / $113.65 / $217.40