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Washington rates for HCPCS 65770

Keratoprosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,095.11 / $7,144.00 / $27,982.24
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.92 / $32,930.48 / $67,203.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.00 / $734.00 / $26,168.97
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,701.21 / $3,521.11 / $19,761.46
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.90 / $2,662.58 / $2,994.00
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,848.69 / $1,848.69 / $6,300.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,323.73 / $33,022.61 / $67,203.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,940.00 / $5,547.00 / $14,650.76