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Washington rates for HCPCS 21208

Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,584.89 / $3,630.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,995.26 / $4,466.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $2,187.76 / $4,570.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $389.05
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $2,238.72 / $4,073.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,995.26 / $3,890.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,905.46 / $3,890.45
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,288.25 / $2,398.83