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Washington rates for HCPCS 22862

Revj W/Rplcmt Tot Disc Arthrp Ant 1 Ntrspc Lmbr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,857.10 / $6,032.18 / $23,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,018.51 / $2,857.10 / $6,275.08
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $44,362.53 / $90,281.73
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,223.68 / $5,317.17 / $21,375.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.00 / $870.49 / $870.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,325.71 / $4,089.14 / $6,949.54
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,069.87 / $3,925.00 / $6,293.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,069.87 / $3,904.45 / $5,799.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.63 / $1,302.78 / $4,507.16
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,992.27 / $4,137.92 / $4,726.18
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,114.38 / $3,114.38 / $3,223.68
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,589.74 / $5,128.26 / $6,398.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,050.80 / $47,196.58 / $90,281.73
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,176.25 / $4,588.49 / $6,108.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $7,614.00 / $24,236.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,575.48 / $3,807.60 / $6,746.92
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,955.94 / $1,955.94 / $2,449.92