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Washington rates for HCPCS 21031

Excision of torus mandibularis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $398.11 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $549.54 / $1,122.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $537.03 / $912.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $218.78
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $660.69 / $954.99
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $588.84 / $870.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $501.19 / $977.24
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $398.11 / $562.34