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Washington rates for HCPCS 21045

Excision of malignant tumor of mandible; radical resection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $7,943.28 / $20,892.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $870.96
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $2,454.71 / $7,762.47
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $2,344.23 / $2,398.83
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $1,659.59
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,481.54 / $15,135.61 / $28,840.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $17,782.79 / $33,884.42