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Washington rates for HCPCS 67903

Rpr Blepharoptosis Levator Rescj/Advmnt Internal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$885.72 / $1,692.01 / $18,711.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,308.50 / $2,308.50 / $6,164.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.62 / $585.97 / $1,176.30
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,141.71 / $1,181.43 / $1,492.96
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$925.25 / $6,622.22 / $14,645.34
Asuris Northwest Health
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,634.41 / $9,933.33 / $19,217.09
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.61 / $1,193.47 / $7,569.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,318.87 / $1,437.90 / $2,521.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$906.00 / $906.00 / $2,430.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.29 / $895.91 / $1,718.21
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.50 / $1,055.35 / $1,835.17
Kaiser Permanente
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,752.58 / $6,328.28 / $15,568.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.86 / $1,057.64 / $1,553.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.42 / $337.19 / $1,204.26
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.99 / $1,124.26 / $1,208.01
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$804.98 / $804.98 / $823.97
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.24 / $1,119.34 / $1,549.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,294.21 / $6,618.43 / $12,667.56
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,441.32 / $9,927.65 / $19,001.34
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.64 / $1,107.29 / $1,517.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,224.00 / $1,862.00 / $10,522.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.00 / $985.60 / $1,633.77