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Washington rates for HCPCS P9603

Travel Allowance One Way In Connection With Medically Necessary Laboratory Specimen Collection Drawn From Home Bound Or Nursing Home Bound Patient; Prorated Miles Actually Travelled. (Special Coverage Instructions Apply. See Mcm: 51141k)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $0.95 / $0.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $9.03 / $43.11
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $2.00 / $90.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $1.20 / $6.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.82 / $0.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.04 / $1.04
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $1.98 / $2.00
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.36 / $1.69 / $2.95
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $2.12 / $2.72
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $1.50 / $2.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.20 / $1.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.39 / $2.69
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.54 / $0.54