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Washington rates for HCPCS 67911

Correction Lid Retraction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,025.93 / $5,128.00 / $18,800.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,540.83 / $6,540.83 / $6,540.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.08 / $659.96 / $1,421.95
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
$761.37 / $1,268.52 / $6,211.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.00 / $734.00 / $2,430.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.51 / $889.08 / $1,720.18
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.58 / $1,164.86 / $2,131.19
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
$681.58 / $1,164.86 / $1,802.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.13 / $344.64 / $1,098.84
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.26 / $1,069.32 / $1,119.57
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.50 / $732.50 / $759.53
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.80 / $1,250.16 / $1,507.60
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
$747.05 / $1,092.59 / $1,439.29
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
$642.00 / $840.58 / $1,570.14