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Washington rates for HCPCS Q0115

Postcoital direct, qualitative examinations of vaginal or cervical mucous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.25 / $116.25 / $178.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.66 / $7.66 / $86.75
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.00 / $43.75 / $118.75
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $18.75 / $46.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.93 / $36.72 / $64.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.15 / $13.15 / $32.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.80 / $19.29 / $25.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.00 / $25.00 / $37.50
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.00 / $37.50 / $68.75
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.50 / $22.50 / $22.50
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.25 / $41.03 / $68.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.62 / $25.00 / $67.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.30 / $15.00 / $25.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.25 / $11.25 / $12.95