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Washington rates for HCPCS 26415

Exc Xtnsr Tdn W/Impltj Synth Rod Dlyd Grf H/F Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,327.43 / $5,128.00 / $21,917.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.92 / $1,137.20 / $2,747.44
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,961.46 / $9,172.83 / $20,286.13
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,206.47 / $1,999.78 / $7,518.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.20 / $1,075.31 / $3,740.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.10 / $1,526.09 / $2,658.81
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$778.41 / $1,638.96 / $3,280.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.41 / $1,610.52 / $2,824.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.13 / $481.46 / $1,692.11
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$965.30 / $1,492.76 / $1,730.61
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$986.25 / $1,170.55 / $2,961.46
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,329.97 / $1,912.16 / $2,343.04
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,948.17 / $9,167.59 / $17,546.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,193.81 / $1,680.19 / $2,242.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,129.00 / $11,941.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.42 / $1,355.46 / $2,459.55
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.04 / $710.04 / $945.60