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Washington rates for HCPCS 69222

Debridement Mastoidectomy Cavity Cmplx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.86 / $627.77 / $14,464.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.00 / $216.27 / $413.47
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,587.00 / $1,587.00 / $1,587.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.35 / $1,461.50 / $2,982.61
Asuris Northwest Health
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,680.87 / $2,338.83 / $4,524.71
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.06 / $445.01 / $1,608.96
Asuris Northwest Health
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$190.75 / $336.00 / $529.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.36 / $219.36 / $365.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.27 / $384.23 / $663.13
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.31 / $326.77 / $585.97
Kaiser Permanente
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,683.28 / $2,230.36 / $4,358.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.04 / $325.95 / $534.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.76 / $301.43 / $513.88
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.20 / $403.34 / $437.51
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.35 / $294.45 / $298.42
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.12 / $354.86 / $547.02
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.58 / $1,549.85 / $2,982.61
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,680.87 / $2,324.78 / $4,473.92
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.32 / $334.01 / $505.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.00 / $666.00 / $6,216.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.88 / $461.13 / $663.48