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Washington rates for HCPCS 0055T

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $4,570.88 / $18,620.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $218.78 / $562.34
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
$676.08 / $676.08 / $676.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $186.21 / $229.09
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $288.40
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $426.58 / $602.56
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $380.19 / $512.86
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
$199.53 / $295.12 / $630.96
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $257.04 / $416.87