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Washington rates for HCPCS Q2028

Injection, sculptra, 0.5 mg

Facilitymedian $2 · 10th–90th $1–$40%20%10th90th$2Professionalmedian $646 · 10th–90th $1–$6760%50%10th90th$646$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.55 / $1.55 / $1.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $676.08
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $2.09 / $4.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.66 / $1.26 / $2.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.66 / $0.66 / $0.66
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.89 / $1.66 / $3.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $2.09 / $4.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $2.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $0.68