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Washington rates for HCPCS L2580

Addition To Lower Extremity Pelvic Control Pelvic Sling

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417.01 / $946.61 / $988.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.30 / $417.01 / $988.31
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.09 / $1,176.73 / $2,832.34
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.55 / $537.60 / $3,651.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.35 / $373.35 / $373.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.55 / $272.55 / $373.35
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.96 / $617.92 / $1,497.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.32 / $602.38 / $1,109.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.33 / $473.71 / $521.08
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.50 / $603.45 / $683.89
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.14 / $617.92 / $683.89
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.09 / $693.97 / $1,206.90
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.16 / $603.45 / $603.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.89 / $525.24 / $679.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.18 / $261.27 / $497.67
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.93 / $381.98 / $381.98