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Washington rates for HCPCS 65175

Removal Ocular Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.89 / $2,812.16 / $18,711.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,462.03 / $10,956.90 / $20,959.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.00 / $479.00 / $3,759.09
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.01 / $1,616.74 / $3,376.68
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$901.65 / $1,288.59 / $1,562.44
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.51 / $1,050.51 / $1,065.72
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,105.06 / $10,950.64 / $20,959.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,771.00 / $13,013.21 / $21,573.23