go back

Washington rates for HCPCS 64721

Neuroplasty &/Transpos Median Nrv Carpal Tunne

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.61 / $5,318.00 / $9,110.28
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,109.09 / $8,833.18 / $11,801.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.06 / $572.61 / $2,019.00
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$206.57 / $1,710.74 / $5,876.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.84 / $798.05 / $910.46
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,197.07 / $1,197.07 / $1,197.07
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,079.40 / $5,468.48 / $11,500.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,971.22 / $8,207.42 / $15,878.12
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.52 / $996.20 / $4,131.06
Asuris Northwest Health
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,059.95 / $1,344.21 / $2,187.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.25 / $761.81 / $2,190.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.10 / $812.48 / $1,383.86
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.54 / $860.47 / $1,644.07
Kaiser Permanente
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,809.85 / $5,945.69 / $14,305.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.54 / $852.00 / $1,398.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.04 / $476.46 / $1,031.05
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.26 / $824.10 / $911.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.07 / $598.87 / $1,795.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.52 / $972.00 / $1,212.79
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,913.81 / $5,468.48 / $10,466.57
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,870.72 / $8,202.71 / $15,699.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.76 / $871.53 / $1,177.76
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
$524.50 / $727.31 / $1,276.79
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.76 / $492.14 / $501.22