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Washington rates for HCPCS 64520

Injection Anes Lmbr/Thrc Paravertbrl Sympathetic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.54 / $1,710.00 / $13,750.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.40 / $189.37 / $477.45
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.01 / $2,583.03 / $6,683.07
Asuris Northwest Health
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,799.32 / $3,874.55 / $7,495.73
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.29 / $321.08 / $1,998.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$205.83 / $256.67 / $727.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.83 / $568.48 / $1,132.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.23 / $235.98 / $654.86
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.96 / $236.57 / $840.73
Kaiser Permanente
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,907.75 / $2,550.75 / $5,846.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.96 / $227.47 / $687.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.97 / $301.88 / $538.56
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.68 / $371.64 / $463.64
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.82 / $314.83 / $927.31
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.19 / $282.42 / $572.61
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,674.98 / $2,581.55 / $4,941.05
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,512.46 / $3,872.33 / $7,411.58
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.09 / $272.93 / $546.54
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
$243.60 / $353.23 / $652.66
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.36 / $186.62 / $257.50