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Washington rates for HCPCS 66991

Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with insertion of intraocular (eg, trabecular meshwork, supraciliary, suprachoroidal) anterior segment aqueous drainage device, without extraocular reservoir, internal approach, one or more

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,253.29 / $9,305.92 / $23,000.00
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$204.06 / $250.66 / $310.66
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$765.21 / $939.97 / $1,164.98
Aetna
Facility/Professional
Facility
Modifier
55
Low / Median / High Price
$153.04 / $187.99 / $233.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.94 / $776.50 / $1,553.00
Aetna
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$91.45 / $153.04 / $260.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,352.62 / $3,352.62 / $3,352.62
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$894.68 / $14,482.75 / $28,332.57
Asuris Northwest Health
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$2,430.46 / $4,042.62 / $4,042.62
Asuris Northwest Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$8,506.60 / $14,149.17 / $14,149.17
Asuris Northwest Health
Facility/Professional
Facility
Modifier
55
Low / Median / High Price
$1,822.84 / $3,031.96 / $3,031.96
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$929.58 / $1,587.95 / $5,756.40
Asuris Northwest Health
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$132.03 / $136.26 / $136.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.00 / $734.00 / $8,905.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.44 / $1,169.69 / $2,099.63
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$867.24 / $1,681.68 / $7,809.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.24 / $1,631.00 / $6,603.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.99 / $404.49 / $1,214.46
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$892.32 / $1,333.40 / $1,358.76
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$894.68 / $894.68 / $3,439.25
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.97 / $1,526.37 / $1,839.60
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,177.40 / $14,482.75 / $28,332.57
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.45 / $1,328.17 / $2,081.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,263.00 / $2,912.00 / $16,315.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.00 / $1,103.30 / $1,905.71