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Washington rates for HCPCS 64862

Suture Lumbar Plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,733.00 / $5,128.00 / $20,680.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,300.51 / $1,720.05 / $3,905.64
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,433.20 / $18,458.89 / $36,111.08
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,964.05 / $3,155.05 / $11,999.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.97 / $870.49 / $7,318.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,401.05 / $2,449.19 / $4,140.03
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.85 / $2,932.62 / $6,417.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,368.50 / $2,824.57 / $5,526.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.57 / $596.70 / $2,827.56
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,113.37 / $2,665.38 / $2,761.74
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,809.40 / $1,840.54 / $5,433.20
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,105.55 / $3,006.62 / $3,739.07
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,241.40 / $18,867.00 / $36,111.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,877.11 / $2,702.04 / $3,569.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $4,016.00 / $16,315.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,671.60 / $2,253.90 / $3,940.21
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,147.06 / $1,147.06 / $1,467.65