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Washington rates for HCPCS Q4185

Cellesta Flowable Amnion (25 mg per cc); per 0.5 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.62 / $588.62 / $588.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.62 / $588.62 / $588.62
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.33 / $781.33 / $781.33
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