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Washington rates for HCPCS 21029

Removal Contouring Benign Tumor Facial Bone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,016.34 / $2,008.70 / $17,100.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,960.21 / $9,118.81 / $17,453.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.25 / $761.81 / $3,302.92
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$727.88 / $1,377.92 / $2,494.19
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,045.40 / $1,463.95 / $1,561.77
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.50 / $1,027.85 / $2,412.73
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,916.52 / $9,101.25 / $17,453.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $2,408.00 / $10,522.00