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Washington rates for HCPCS 22853

Insj Biomchn Dev Intervertebral Dsc Spc W/Arthrd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.22 / $2,064.40 / $22,024.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.65 / $400.42 / $1,534.40
Aetna
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$52.06 / $152.32 / $313.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.29 / $358.02 / $659.60
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,040.23 / $5,000.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$220.50 / $732.30 / $732.30
Asuris Northwest Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$35.28 / $117.17 / $117.17
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.22 / $573.70 / $2,298.23
Asuris Northwest Health
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$53.44 / $66.64 / $97.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.97 / $765.00 / $870.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.45 / $450.62 / $759.76
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.40 / $476.17 / $639.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.74 / $476.17 / $647.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.80 / $345.16 / $603.66
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.16 / $484.51 / $515.90
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.73 / $344.73 / $351.89
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.60 / $563.14 / $698.47
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.58 / $500.87 / $669.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.00 / $648.00 / $6,216.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.89 / $433.38 / $741.49
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.67 / $213.67 / $265.20