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Washington rates for HCPCS 0639T

Wireless skin sensor thermal anisotropy measurement(s) and assessment of flow in cerebrospinal fluid shunt, including ultrasound guidance, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $6,456.54 / $20,892.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $79.43 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $50.12 / $70.79
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $158.49 / $162.18
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $109.65 / $109.65
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $162.18 / $229.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $120.23 / $229.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $154.88 / $204.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $89.13 / $213.80