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Washington rates for HCPCS 63295

Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,737.80 / $20,892.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,995.26 / $2,290.87
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $457.09 / $794.33
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $616.60 / $660.69
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,318.26 / $5,754.40