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Washington rates for HCPCS D9212

Trigeminal Division Block Anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $52.48 / $64.57
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $48.98 / $158.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $42.66 / $158.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $50.12 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $138.04 / $141.25
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $54.95