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Washington rates for HCPCS 63655

Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,357.41 / $5,128.00 / $23,000.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,653.66 / $60,617.23 / $118,585.34
Asuris Northwest Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$5,851.88 / $9,733.53 / $9,733.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.97 / $2,285.42 / $42,883.08
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$877.44 / $1,797.29 / $34,021.94
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,179.92 / $1,608.67 / $1,715.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,128.42 / $1,169.92 / $37,320.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,810.33 / $61,957.43 / $118,585.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $7,614.00 / $24,236.00