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Washington rates for HCPCS 64772

Transection/Avulsion Oth Spinal Nrv Xdrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.79 / $6,259.76 / $17,930.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,795.87 / $5,471.61 / $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
$608.55 / $1,201.21 / $1,941.14
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.86 / $1,086.74 / $1,134.31
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.07 / $755.15 / $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