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Washington rates for HCPCS 21031

Excision Torus Mandibularis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.14 / $449.90 / $1,044.59
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.56 / $759.84 / $2,857.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.63 / $613.11 / $1,110.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.80 / $590.16 / $945.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.46 / $243.30 / $734.83
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.65 / $675.64 / $957.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.58 / $622.79 / $919.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.04 / $622.54 / $1,109.34
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.43 / $316.93 / $430.10