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Washington rates for HCPCS Q2028

Injection, sculptra, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.66 / $1.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $651.95
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.40 / $2.20 / $4.79
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.78 / $1.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $1.32 / $2.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.40 / $79,999.20 / $79,999.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $2.45 / $3.92
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.68 / $4.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.67 / $0.67