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Washington rates for HCPCS 92015

Determination of refractive state

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $28.18 / $81.28
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $18.20 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $30.90 / $57.54
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $28.18 / $46.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $30.20 / $48.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $12.02 / $28.84
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $37.15 / $40.74
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $26.30 / $26.30
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $41.69 / $53.70
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $20.89 / $38.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $28.84 / $50.12
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14