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Washington rates for HCPCS 63744

Rplcmt Irrigation/Revj Lumbosarach Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,249.08 / $5,128.00 / $20,680.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,474.84 / $18,877.79 / $36,111.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.97 / $870.49 / $10,186.60
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.94 / $1,396.99 / $8,933.32
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$937.99 / $1,306.07 / $1,404.99
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.63 / $958.33 / $7,474.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,241.40 / $18,867.00 / $36,111.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $4,016.00 / $16,315.00