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Washington rates for HCPCS 67875

Temporary closure of eyelids by suture (eg, Frost suture)

Facilitymedian $479 · 10th–90th $182$7,9430%10%10th90th$479Professionalmedian $200 · 10th–90th $93$5250%10%10th90th$200$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $2,754.23 / $17,782.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $169.82 / $524.81
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,691.53 / $5,495.41
Asuris Northwest Health
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,691.53 / $4,073.80 / $8,317.64
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $257.04 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $478.63 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $239.88 / $524.81
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $251.19 / $977.24
Kaiser Permanente
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,398.83 / $3,890.45 / $6,918.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $245.47 / $660.69
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $91.20
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $331.13 / $363.08
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $251.19
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $251.19 / $457.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,818.38 / $5,495.41
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,691.53 / $4,168.69 / $8,317.64
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $288.40 / $501.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $3,162.28 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $213.80 / $407.38
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $169.82 / $407.38