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Washington rates for HCPCS 67975

Rcnstj Eyelid Full Thickness Second Stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,021.04 / $6,470.00 / $18,800.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.59 / $720.59 / $1,496.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$925.25 / $6,622.22 / $14,645.34
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.93 / $1,624.66 / $5,736.98
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
$683.92 / $1,082.81 / $2,084.89
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$835.29 / $1,226.99 / $2,131.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.29 / $1,226.99 / $2,089.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.68 / $399.90 / $1,328.31
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$940.90 / $1,298.46 / $1,369.48
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$892.86 / $892.86 / $922.68
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.74 / $1,523.32 / $1,831.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,294.21 / $6,618.43 / $12,667.56
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.60 / $1,327.29 / $1,748.45
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
$783.12 / $1,065.90 / $1,901.90