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Washington rates for HCPCS Q4166

Cytal Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.97 / $21.97 / $21.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $21.97 / $22.73
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.97 / $85.00 / $90.79
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $90.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.84 / $18.84 / $43.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $24.49
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.97 / $19.97 / $26.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $26.96
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
$18.98 / $19.97 / $41.45
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.47 / $21.47 / $21.72
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.72 / $22.30 / $37.77
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.97 / $19.97 / $19.97
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.97 / $19.97 / $19.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $23.96
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $20.56