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Washington rates for HCPCS 67912

Corrj Lagophthalmos Impltj Upr Eyelid Lid Load

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$801.00 / $2,286.13 / $17,930.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.34 / $6,622.22 / $14,645.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.00 / $734.00 / $2,430.19
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.79 / $1,186.72 / $2,305.46
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$973.59 / $1,632.15 / $1,800.29
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$925.25 / $1,230.34 / $1,230.34
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,294.21 / $6,618.43 / $12,667.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,224.00 / $1,862.00 / $10,522.00