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Washington rates for HCPCS 64771

Transection or avulsion of other cranial nerve, extradural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,072.86 / $4,011.00 / $18,711.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,870.27 / $5,471.61 / $12,100.72
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
$616.86 / $1,235.40 / $1,946.83
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$836.73 / $1,132.59 / $1,195.44
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.07 / $777.35 / $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 / $2,408.00 / $10,522.00