go back

Washington rates for HCPCS 0674T

Laps Insj New/Rplcmt Perm Isdss Agmntj Car Funcj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,354.00 / $12,214.00 / $23,717.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.00 / $1,420.00 / $27,982.24
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $857.15
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111,228.60 / $111,228.60 / $115,891.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,917.69 / $39,431.12 / $67,897.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,252.00 / $25,743.00 / $37,152.00