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Washington rates for HCPCS 21249

Rcnstj Mandible/Maxl Endosteal Implant Complete

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,163.26 / $1,777.12 / $3,991.01
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.32 / $2,700.64 / $13,311.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,392.17 / $2,370.16 / $3,714.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,396.24 / $2,620.46 / $4,152.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.08 / $754.64 / $2,673.56
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,821.60 / $2,594.67 / $3,331.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,602.32 / $2,402.07 / $3,294.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,687.14 / $2,249.52 / $3,969.81
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.76 / $1,201.46 / $1,464.67