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Washington rates for HCPCS 63195

Lam Cordotomy Sctj 1 Spinothalmic Tract Thoracic

Insurance Carrier
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,000.00 / $5,219.25
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,846.44 / $7,846.44 / $7,846.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,472.23 / $5,783.73 / $6,929.56
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,780.05 / $2,351.36 / $2,941.97