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Washington rates for HCPCS 15822

Blepharoplasty, upper eyelid;

Facilitymedian $1,096 · 10th–90th $617–$14,7910%10%10th90th$1,096Professionalmedian $3,548 · 10th–90th $562–$3,6310%50%10th90th$3,548$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $1,202.26 / $18,620.87
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$562.34 / $3,548.13 / $3,630.78
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $4,897.79 / $10,000.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$5,623.41 / $7,244.36 / $14,791.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $1,122.02 / $2,344.23
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $891.25 / $2,691.53
Kaiser Permanente
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$5,370.32 / $7,762.47 / $13,489.63
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $851.14 / $933.25
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $630.96 / $758.58
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $5,011.87 / $10,000.00
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$5,370.32 / $7,585.78 / $14,791.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $6,456.54 / $11,748.98