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Washington rates for HCPCS 63196

Lam Cordotomy Sctj Both Spinothalmic Tracts Crv

Insurance Carrier
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,000.00 / $6,131.82
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,115.20 / $9,115.20 / $9,115.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,357.05 / $6,718.91 / $8,050.01
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,978.70 / $2,562.36 / $2,783.92