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Washington rates for HCPCS 63268

Lam Exc/Evac Ispi Les Oth/Thn Neo Xdrl Sacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,755.57 / $5,132.00 / $22,024.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $19,056.41 / $38,781.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.97 / $2,000.00 / $2,285.42
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,372.06 / $2,854.79 / $6,397.05
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,975.31 / $2,742.31 / $2,997.58
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,912.11 / $1,912.11 / $2,044.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,486.02 / $20,660.30 / $38,781.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $5,547.00 / $19,271.00