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Washington rates for HCPCS 67005

Rmvl Vitreous Ant Appr Partial Removal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.93 / $7,920.26 / $20,680.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,126.18 / $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
$573.36 / $1,153.63 / $2,522.36
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.75 / $897.13 / $952.07
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$621.52 / $621.52 / $865.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,282.39 / $6,600.21 / $12,632.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,415.00 / $7,995.05 / $13,047.65