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Washington rates for HCPCS 63057

Transpedicular Dcmprn 1 Seg Ea Thoracic/Lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.91 / $2,769.52 / $18,711.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,000.00 / $5,117.28
Asuris Northwest Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$44.02 / $146.69 / $146.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,285.42 / $2,500.00
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.25 / $612.30 / $794.32
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.62 / $603.70 / $644.54
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.99 / $428.99 / $439.63
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,683.09 / $8,683.09 / $10,939.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.00 / $648.00 / $6,216.00