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Washington rates for HCPCS 20696

Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer-assisted adjustment (eg, spatial frame), including imaging; initial and subsequent alignment(s), assessment(s), and computation(s) of adjustment schedule(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,733.00 / $5,128.00 / $22,024.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,603.61 / $52,812.50 / $101,024.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.97 / $870.49 / $35,185.51
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,177.10 / $2,453.96 / $27,914.97
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,684.61 / $2,276.23 / $2,351.03
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,585.50 / $1,603.61 / $24,524.93
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,536.44 / $52,812.50 / $101,024.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,129.00 / $11,941.00