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Washington rates for HCPCS 65850

Trabeculotomy ab externo

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,551.20 / $7,920.26 / $20,711.71
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,144.33 / $6,603.99 / $14,605.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$906.00 / $906.00 / $2,876.24
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.98 / $1,455.74 / $2,598.75
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,191.68 / $1,593.93 / $1,677.68
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,109.84 / $1,109.84 / $1,144.33
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,818.83 / $6,600.21 / $12,632.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,220.00 / $2,136.00 / $10,522.00