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Washington rates for HCPCS 64420

Injection Aa&/Strd Intercostal Nrv Single Lvl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.00 / $317.22 / $13,750.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,612.60 / $2,612.60 / $2,612.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.15 / $131.02 / $275.11
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.43 / $1,959.77 / $5,070.50
Asuris Northwest Health
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,285.07 / $3,052.92 / $5,687.07
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.90 / $178.97 / $1,340.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$142.07 / $177.15 / $293.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.83 / $568.48 / $880.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.56 / $153.47 / $284.47
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.05 / $161.54 / $648.52
Kaiser Permanente
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$976.01 / $1,928.84 / $4,640.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.05 / $159.69 / $393.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.13 / $151.29 / $268.52
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.97 / $193.14 / $226.58
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.37 / $134.36 / $715.32
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.19 / $150.53 / $242.55
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.82 / $1,958.65 / $3,748.81
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,245.42 / $2,995.70 / $5,623.22
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.16 / $143.04 / $241.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.00 / $938.00 / $4,611.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.56 / $203.00 / $281.66
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.85 / $81.44 / $108.81