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Washington rates for HCPCS 15570

Formation of direct or tubed pedicle, with or without transfer; trunk

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,203.92 / $2,356.56 / $18,711.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,246.70 / $5,167.93 / $11,429.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.92 / $1,110.00 / $2,323.83
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$948.15 / $1,481.22 / $2,294.58
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,204.98 / $1,668.41 / $1,827.76
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.83 / $1,226.72 / $1,246.70
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,770.96 / $5,167.93 / $9,885.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.00 / $1,120.00 / $6,857.00