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Washington rates for HCPCS 21048

Exc Benign Tumor/Cyst Maxl Intra-Oral Osteot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$985.62 / $1,329.73 / $3,027.56
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,403.20 / $2,194.73 / $9,057.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.43 / $1,930.21 / $3,053.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.67 / $2,305.60 / $5,218.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.21 / $573.66 / $2,004.70
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,527.01 / $2,168.64 / $2,705.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,379.07 / $1,961.03 / $2,658.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,281.00 / $1,677.49 / $2,928.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.89 / $832.89 / $1,088.56