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Washington rates for HCPCS 66170

Fstlj Sclera Glaucoma Trabeculect Ab Externo

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,733.00 / $7,863.94 / $20,680.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,487.08 / $6,858.44 / $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
$1,260.08 / $1,654.83 / $3,026.01
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,502.43 / $2,077.67 / $2,258.10
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,126.18 / $1,434.65 / $1,487.08
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
$1,224.00 / $1,862.00 / $10,522.00