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Washington rates for HCPCS Q4127

Talymed, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.34 / $75.34 / $75.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.48 / $74.65 / $75.34
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.43 / $91.10 / $302.37
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.06 / $68.48 / $335.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.61 / $64.61 / $136.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.48 / $68.48 / $83.99
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.48 / $68.48 / $92.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.48 / $68.48 / $92.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.31 / $68.48 / $142.13
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.61 / $49.80 / $72.36
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.36 / $74.30 / $125.86
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $68.48 / $68.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.06 / $68.48 / $68.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.48 / $68.48 / $82.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.48 / $68.48 / $68.48