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Washington rates for HCPCS 0562T

Anatomic guide 3D-printed and designed from image data set(s); each additional anatomic guide (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.11 / $23.11 / $23.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.30 / $23.11 / $27.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.56 / $89.29 / $89.29
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.80 / $46.01 / $166.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.35 / $30.50 / $30.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.08 / $60.08 / $60.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $50.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.52 / $38.86 / $38.86
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.51 / $26.51 / $28.09
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.76 / $44.89 / $55.22
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.80 / $38.04 / $52.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.62 / $25.20 / $55.93
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.06 / $88.06 / $88.06