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Washington rates for HCPCS 64763

Trnsxj/Avlsn Obturat Nrv Xpelv W/Wo Tenotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.77 / $1,359.17 / $22,024.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.68 / $644.77 / $1,396.86
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.43 / $5,246.20 / $10,466.57
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.64 / $1,186.74 / $4,586.63
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
$549.79 / $922.21 / $1,561.46
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.64 / $1,115.80 / $1,921.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.72 / $1,082.57 / $1,686.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.34 / $537.79 / $1,161.31
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.40 / $962.20 / $1,045.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.07 / $699.43 / $1,795.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.39 / $1,142.56 / $1,415.08
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
$713.33 / $1,015.94 / $1,350.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.00 / $1,436.00 / $6,857.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.54 / $847.59 / $1,496.52
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.98 / $433.98 / $554.28