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Washington rates for HCPCS 64864

Suture Facial Nerve Extracranial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,589.32 / $5,128.00 / $22,024.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,433.20 / $18,458.89 / $36,111.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.97 / $870.49 / $7,318.13
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$932.51 / $1,904.93 / $6,417.76
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,245.58 / $1,678.28 / $1,727.93
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,145.64 / $1,178.59 / $5,433.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,241.40 / $18,867.00 / $36,111.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $4,016.00 / $16,315.00