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Washington rates for HCPCS 65426

Excision or transposition of pterygium; with graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$907.02 / $1,584.06 / $18,711.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$541.71 / $939.07 / $1,303.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.75 / $627.99 / $1,562.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.14 / $878.14 / $878.14
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.21 / $6,622.22 / $14,645.34
Asuris Northwest Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$869.62 / $1,513.22 / $1,513.22
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.26 / $1,416.20 / $4,981.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,031.00 / $2,430.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.73 / $913.12 / $1,926.45
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.96 / $1,055.35 / $1,840.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.54 / $1,056.10 / $1,731.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.68 / $371.42 / $1,281.34
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.97 / $1,225.33 / $1,340.00
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.58 / $895.58 / $925.25
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.50 / $1,192.59 / $1,675.40
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,832.13 / $6,618.43 / $12,667.56
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.48 / $1,105.74 / $1,640.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,224.00 / $1,862.00 / $10,522.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.20 / $998.70 / $1,864.18