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Washington rates for HCPCS 25915

Krukenberg Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.13 / $2,883.66 / $22,024.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.78 / $1,480.13 / $3,174.17
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,608.18 / $18,220.34 / $35,644.43
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,655.34 / $2,753.01 / $10,243.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.00 / $870.49 / $870.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,169.98 / $2,090.82 / $3,538.47
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,133.30 / $2,094.44 / $3,218.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.99 / $2,081.62 / $2,957.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.54 / $699.73 / $2,282.53
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,558.99 / $2,116.16 / $2,357.73
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,568.29 / $1,568.29 / $1,608.18
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,795.73 / $2,561.88 / $3,192.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,233.34 / $18,633.84 / $35,644.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,599.44 / $2,289.04 / $3,047.45
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
$1,405.67 / $1,926.03 / $3,374.43
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.21 / $979.21 / $1,257.06