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Washington rates for HCPCS 0054T

Computer-assisted musculoskeletal surgical navigational orthopedic procedure, with image-guidance based on fluoroscopic images (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $6,456.54 / $20,892.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $177.83 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $218.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $50.12 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $95.50 / $141.25
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $234.42
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $346.74 / $489.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $316.23 / $436.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $549.54 / $5,754.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $263.03 / $467.74
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $154.88 / $218.78