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Washington rates for HCPCS Q0112

All potassium hydroxide (KOH) preparations

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.28 / $14.55 / $32.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.99 / $5.83 / $12.82
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.12 / $10.19 / $85.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.33 / $4.92 / $11.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.99 / $11.94 / $21.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.06 / $16.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.15 / $4.15 / $4.49
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.83 / $5.83 / $8.75
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.83 / $8.75 / $16.03
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $5.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.70 / $9.57 / $16.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $5.83 / $16.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $5.96
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $2.62 / $3.02