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Washington rates for HCPCS Q4162

Woundex Flow Bioskin Flow 0.5 Cc (Desc Revised 1/1/2018)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,870.00 / $1,870.00 / $1,870.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,760.00 / $1,870.00 / $1,870.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,826.00 / $2,346.25 / $8,250.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,870.00 / $8,360.00 / $9,900.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,870.00 / $1,870.00 / $7,977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,870.00 / $1,870.00 / $1,870.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.82 / $12.82 / $12.82
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
$79,999.20 / $79,999.20 / $79,999.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,826.00 / $1,826.00 / $1,870.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,694.00 / $1,870.00 / $1,980.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,200.00 / $2,200.00 / $2,640.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.00 / $1,496.00 / $1,496.00