go back

Washington rates for HCPCS G2004

Post-d/c h vst new pt 60 m

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.62 / $198.42 / $198.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.78 / $157.72 / $198.42
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.56 / $258.89 / $788.47
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.62 / $352.92 / $1,314.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.06 / $141.06 / $141.06
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.32 / $204.10 / $392.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.94 / $204.10 / $360.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.40 / $197.81 / $342.88
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.41 / $312.63 / $352.92
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.62 / $235.56 / $235.56
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.97 / $344.60 / $433.49
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.36 / $271.32 / $407.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.00 / $286.20 / $459.57
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.85 / $130.85 / $154.62