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Washington rates for HCPCS 67228

Treatment Extensive Retinopathy Photocoagulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516.52 / $2,064.40 / $13,750.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,535.19 / $2,535.19 / $9,168.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.53 / $923.25 / $1,403.13
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$9,523.17 / $9,523.17 / $9,523.17
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.85 / $1,646.32 / $3,151.02
Asuris Northwest Health
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,816.02 / $2,470.89 / $4,780.18
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.99 / $793.18 / $4,749.87
Asuris Northwest Health
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$567.00 / $980.70 / $1,489.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.37 / $408.37 / $479.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.10 / $610.47 / $1,225.28
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.34 / $791.90 / $2,074.62
Kaiser Permanente
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,444.17 / $1,588.70 / $4,299.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.64 / $768.32 / $1,534.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.16 / $270.94 / $695.17
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.15 / $661.32 / $1,852.34
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.85 / $447.11 / $462.03
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.03 / $705.32 / $874.97
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,195.59 / $1,646.32 / $3,151.02
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,793.40 / $2,469.48 / $4,726.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.17 / $644.82 / $921.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $648.00 / $4,611.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.79 / $706.51 / $1,408.06