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Washington rates for HCPCS 69930

Cochlear Device Implantation W/Wo Mastoidectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.90 / $17,743.00 / $98,969.14
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,542.00 / $94,978.73 / $181,787.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,283.56 / $39,283.56 / $50,000.00
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,533.84 / $2,736.83 / $113,370.79
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,779.57 / $2,335.62 / $2,467.71
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.94 / $1,670.79 / $33,391.15
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70,061.14 / $95,033.05 / $181,787.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,975.00 / $34,178.00 / $71,362.00