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Washington rates for HCPCS 01634

Anesthesia Arthroscopic Shoulder Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.50 / $688.00 / $869.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.00 / $50.50 / $906.90
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.60 / $744.75 / $4,800.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.00 / $621.00 / $854.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $104.94 / $333.90
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.00 / $520.00 / $690.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.60 / $655.20 / $817.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.00 / $645.00 / $842.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.00 / $62.00 / $88.90
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.30 / $172.30 / $172.30