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Washington rates for HCPCS 61880

Revj/Rmvl Intracranial Neurostimulator Eltrds

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$729.58 / $1,599.65 / $20,680.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$792.75 / $9,636.87 / $18,444.79
Asuris Northwest Health
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$10,540.07 / $14,463.57 / $27,981.33
Asuris Northwest Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$628.46 / $1,045.32 / $1,045.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,764.35 / $2,764.35 / $4,605.38
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.04 / $1,210.64 / $5,460.95
Kaiser Permanente
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,460.95 / $10,231.82 / $24,617.71
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.17 / $1,111.53 / $1,208.68
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$792.75 / $824.43 / $1,929.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,354.08 / $9,642.37 / $18,444.79
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$9,531.12 / $14,463.57 / $27,667.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,297.00 / $12,835.00