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Washington rates for HCPCS V2625

Enlargement Of Ocular Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.43 / $440.63 / $488.55
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$518.65 / $751.16 / $2,372.57
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.29 / $591.96 / $3,253.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.23 / $213.23 / $213.23
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.55 / $547.72 / $1,436.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.45 / $546.72 / $989.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.36 / $613.99 / $628.73
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.02 / $578.42 / $592.30
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$518.65 / $518.65 / $518.65
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.67 / $561.08 / $665.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.25 / $503.46 / $651.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.91 / $221.62 / $422.83