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Washington rates for HCPCS 64451

Injection Aa&/Strd Nerves Nrvtg Si Joint W/Img

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.02 / $2,064.40 / $18,711.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,612.60 / $2,612.60 / $4,122.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.68 / $207.97 / $480.75
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$220.42 / $298.85 / $298.85
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.22 / $1,836.95 / $3,748.81
Asuris Northwest Health
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,285.07 / $2,939.66 / $5,687.07
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.32 / $426.95 / $1,886.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$240.86 / $248.57 / $688.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.97 / $870.49 / $880.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.62 / $242.96 / $646.48
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.28 / $258.25 / $660.80
Kaiser Permanente
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,928.64 / $2,377.07 / $5,719.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.28 / $245.55 / $600.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.75 / $357.24 / $628.33
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.81 / $413.69 / $458.28
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.22 / $312.58 / $715.32
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.66 / $270.19 / $568.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,443.99 / $1,959.77 / $3,748.81
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,165.98 / $2,939.66 / $5,623.22
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.01 / $272.14 / $539.05
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
$251.58 / $341.43 / $621.78
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.60 / $185.52 / $254.71