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Washington rates for HCPCS 69716

Impl Oi Implt Skull Mag Tc Attachment Esp<100

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,098.02 / $11,333.92 / $27,982.24
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.49 / $37,297.19 / $71,345.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,459.41 / $14,459.41 / $24,089.21
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.43 / $1,471.70 / $45,965.51
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.10 / $1,213.29 / $1,251.56
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.49 / $853.68 / $8,056.16
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,489.22 / $37,297.19 / $71,345.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $4,686.00 / $20,708.00