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Washington rates for HCPCS 64713

Neurp Major Prph Nrv Opn Arm/Leg Brach Plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$987.29 / $4,011.00 / $18,711.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,392.97 / $5,628.30 / $12,100.72
Asuris Northwest Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$298.95 / $497.27 / $497.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.25 / $761.81 / $2,190.81
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.70 / $1,533.80 / $2,245.23
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.71 / $1,482.04 / $1,627.43
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.07 / $1,063.19 / $1,795.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,913.81 / $5,468.48 / $10,466.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $1,862.00 / $10,522.00