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Washington rates for HCPCS 65930

Rmvl Blood Clot Anterior Segment Eye

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,125.00 / $6,470.00 / $22,024.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,126.18 / $6,858.44 / $14,605.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,031.00 / $2,876.24
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$772.40 / $1,366.89 / $2,522.36
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$893.42 / $1,210.02 / $1,279.03
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$844.85 / $844.85 / $1,013.21
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,044.41 / $6,729.88 / $12,632.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,224.00 / $1,862.00 / $10,522.00