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Washington rates for HCPCS 22852

Removal Posterior Segmental Instrumentation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$905.22 / $4,500.00 / $22,024.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,057.15 / $34,332.32 / $70,064.83
Asuris Northwest Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$99.50 / $329.26 / $329.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.97 / $765.00 / $870.49
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$662.78 / $1,351.15 / $1,917.14
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$972.88 / $1,345.36 / $1,445.86
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.11 / $986.21 / $13,091.98
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,977.90 / $36,627.79 / $70,064.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $5,547.00 / $19,271.00