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Washington rates for HCPCS 22865

Rmvl Tot Disc Arthrp Ant 1 Interspace Lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,790.12 / $5,726.44 / $23,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,011.63 / $2,790.12 / $6,122.91
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $34,428.37 / $70,064.83
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,178.59 / $5,095.29 / $20,858.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.00 / $870.49 / $870.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,203.76 / $3,992.24 / $6,784.66
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,984.43 / $4,083.86 / $5,662.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,963.84 / $3,937.48 / $5,329.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.63 / $1,228.28 / $4,408.11
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,907.17 / $4,013.57 / $4,612.95
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,040.54 / $3,040.54 / $3,146.45
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,503.95 / $5,005.39 / $6,245.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,977.90 / $36,627.79 / $70,064.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,100.94 / $4,478.55 / $5,962.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $5,547.00 / $19,271.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,601.90 / $3,650.07 / $6,585.69
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,910.11 / $1,910.11 / $2,393.61