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Washington rates for HCPCS 67400

Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,733.00 / $6,470.00 / $18,711.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.90 / $982.09 / $2,214.26
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,241.33 / $2,366.21 / $6,841.86
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,462.03 / $10,956.90 / $24,231.69
Asuris Northwest Health
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$10,889.49 / $16,435.34 / $31,795.95
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,430.98 / $2,563.04 / $8,835.53
Asuris Northwest Health
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,993.51 / $2,961.45 / $4,558.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.00 / $734.00 / $3,759.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.42 / $1,608.61 / $3,255.47
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,128.05 / $1,863.78 / $3,376.68
Kaiser Permanente
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$9,510.91 / $10,462.73 / $25,389.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,128.05 / $1,863.78 / $3,285.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.13 / $598.18 / $2,015.32
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,314.66 / $1,838.48 / $2,072.98
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,389.35 / $1,389.35 / $1,413.96
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,456.83 / $2,341.36 / $2,812.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,105.06 / $10,950.64 / $20,959.32
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$10,657.59 / $16,425.96 / $31,438.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,416.95 / $2,044.56 / $2,679.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,771.00 / $13,013.21 / $21,573.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.80 / $1,449.25 / $2,759.14