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Washington rates for HCPCS 64569

Revision/Replmt Neurostimlator Eltrd Cranial Nrv

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,404.31 / $4,011.00 / $18,711.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,073.04 / $37,746.68 / $73,843.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.97 / $870.49 / $26,954.12
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$777.78 / $1,600.80 / $21,384.47
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.78 / $1,488.06 / $1,573.16
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,035.56 / $1,073.04 / $24,588.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,671.67 / $37,746.68 / $73,843.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $11,540.00 / $19,271.00