go back

Washington rates for HCPCS 67015

Aspiration/Release Vitreous Subretinal/Choroidal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$915.63 / $2,845.27 / $18,711.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.61 / $603.98 / $1,124.92
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,434.01 / $6,858.44 / $12,632.68
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.72 / $1,439.46 / $5,127.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.00 / $479.00 / $2,876.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.57 / $954.40 / $1,883.09
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$703.22 / $1,339.88 / $2,522.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.22 / $1,283.71 / $2,132.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.97 / $315.69 / $1,158.41
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.52 / $1,114.99 / $1,206.00
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$799.09 / $799.09 / $1,126.18
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.72 / $1,359.73 / $1,632.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,044.41 / $6,729.88 / $12,632.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.97 / $1,183.32 / $1,558.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,224.00 / $2,023.72 / $5,519.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.38 / $887.75 / $1,655.32