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Washington rates for HCPCS 63103

Vcrpec Lat Xtrcavitary Dcmprn Thrc/Lmbr Ea Seg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.62 / $823.59 / $22,024.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $4,678.93 / $5,000.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$40.09 / $133.22 / $133.22
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
$277.45 / $555.09 / $705.26
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.91 / $550.48 / $588.26
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.30 / $392.30 / $401.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.00 / $1,323.00 / $5,793.00