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Washington rates for HCPCS 21081

Impression & Prepj Mandibular Resection Prosthes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,301.38 / $1,906.54 / $4,188.47
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,048.71 / $3,148.26 / $11,498.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,574.05 / $2,621.40 / $4,277.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,322.07 / $2,630.74 / $3,970.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.58 / $927.52 / $3,082.42
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,010.75 / $2,842.51 / $3,818.27
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,745.44 / $2,683.03 / $3,752.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,840.51 / $2,518.44 / $4,395.84
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,292.83 / $1,293.34 / $1,690.74