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Washington rates for HCPCS 64605

Dstrj Neurolytic Trigeminal Nrv 2/3 Div Branch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.87 / $1,614.66 / $14,464.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.38 / $826.27 / $1,673.98
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,795.87 / $5,471.61 / $12,000.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.24 / $1,409.35 / $6,548.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.83 / $568.48 / $2,190.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.26 / $905.45 / $2,386.10
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.97 / $816.42 / $1,686.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.97 / $802.67 / $1,640.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.36 / $947.98 / $2,042.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$667.32 / $1,193.94 / $1,829.10
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.07 / $871.12 / $1,795.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.76 / $1,171.97 / $1,951.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,913.81 / $5,468.48 / $10,466.57
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.89 / $902.04 / $1,816.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $2,408.00 / $10,522.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.44 / $1,069.76 / $1,790.03
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.24 / $740.41 / $998.62