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Washington rates for HCPCS G0117

Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.46 / $54.28 / $77.62
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.08 / $149.61 / $547.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.24 / $56.24 / $56.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.12 / $81.69 / $154.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.97 / $53.51 / $93.71
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.88 / $143.81 / $179.02
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.51 / $107.73 / $156.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.36 / $81.12 / $159.01