go back

Washington rates for HCPCS 66175

Trluml Dilat Aqueous O/F Can W/Retention Dev/St

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.65 / $6,470.00 / $22,024.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,045.98 / $14,482.75 / $28,332.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,031.00 / $10,075.20
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.09 / $2,351.23 / $8,835.62
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,180.53 / $1,444.52 / $2,131.27
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.29 / $1,045.98 / $1,876.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,567.02 / $14,482.75 / $28,332.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,263.00 / $2,912.00 / $16,315.00