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Washington rates for HCPCS 21079

Impression & Preparation Interim Obturator Prost

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,274.70 / $1,869.30 / $4,437.37
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,965.35 / $3,018.01 / $10,902.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,519.83 / $2,520.23 / $4,049.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,264.18 / $2,539.50 / $3,833.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.37 / $832.67 / $2,906.58
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,923.35 / $2,740.60 / $3,589.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,670.55 / $2,541.75 / $3,574.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,840.66 / $2,492.03 / $4,293.77
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,234.02 / $1,254.09 / $1,610.85