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Washington rates for HCPCS 63087

Vcrpec Thoracolmbr Dcmprn Lwr Thrc/Lmbr 1 Seg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,950.17 / $6,118.95 / $22,024.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,000.00 / $39,053.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.00 / $870.49 / $870.49
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,283.46 / $4,565.13 / $5,804.40
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,404.10 / $4,622.33 / $4,898.37
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,229.44 / $3,229.44 / $3,341.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.00 / $1,323.00 / $5,793.00