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Washington rates for HCPCS G0429

Dermal filler injection(s) for the treatment of facial lipodystrophy syndrome (LDS) (e.g., as a result of highly active antiretroviral therapy)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $77.62 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $151.36 / $245.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $165.96 / $245.47
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $134.90 / $208.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $131.83 / $251.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $117.49 / $194.98