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Washington rates for HCPCS G0416

Surgical Pathology Gross And Microscopic Examinations For Prostate Needle Biopsy Any Method (Revised 11/11/2014) Revised 1/1/2014

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.27 / $402.51 / $631.32
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$142.62 / $166.75 / $416.38
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$154.63 / $209.01 / $590.00
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$462.73 / $462.73 / $462.73
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$845.83 / $2,185.65 / $2,185.65
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$276.06 / $846.88 / $846.88
Asuris Northwest Health
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$438.43 / $1,452.72 / $1,452.72
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.09 / $839.20 / $5,718.36
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$237.01 / $421.74 / $1,412.85
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$241.63 / $461.48 / $2,229.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.16 / $326.16 / $326.16
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$153.56 / $153.56 / $153.56
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$172.60 / $172.60 / $172.60
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.78 / $934.67 / $1,572.10
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$170.50 / $363.14 / $927.23
Kaiser Permanente
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$294.95 / $620.94 / $1,148.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.90 / $934.67 / $1,199.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$220.68 / $363.14 / $480.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$353.89 / $575.11 / $789.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.76 / $361.92 / $807.24
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.95 / $725.35 / $1,152.15
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$282.70 / $343.11 / $347.73
Pacific Source
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$301.50 / $382.24 / $595.35
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$207.03 / $262.45 / $408.63
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$257.83 / $523.80 / $742.71
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.70 / $833.98 / $984.52
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$239.99 / $401.87 / $473.89
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$263.32 / $430.85 / $538.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $697.41 / $1,029.99
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$237.01 / $322.70 / $423.32
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$241.63 / $352.21 / $590.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.74 / $320.52 / $709.79
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.92 / $111.30 / $372.71
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$97.44 / $162.40 / $331.33