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Washington rates for HCPCS P9604

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.49 / $9.49 / $9.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $9.49 / $11.30
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.32 / $20.64 / $90.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $10.21 / $26.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.57 / $1.67 / $3.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $8.52 / $9.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.10 / $10.10 / $10.10
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.05 / $20.77 / $20.77
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.53 / $4.53 / $14.62
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $19.57 / $29.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.90 / $15.48 / $20.64
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.28 / $12.00 / $12.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.82 / $13.98 / $26.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.35 / $5.35 / $5.40