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Washington rates for HCPCS 21355

Percutaneous Tx Malar Area Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.24 / $1,198.32 / $18,711.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.80 / $584.24 / $1,198.32
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,335.32 / $9,124.02 / $20,178.18
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.57 / $895.82 / $3,354.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.97 / $870.49 / $3,302.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.02 / $709.48 / $1,294.24
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.60 / $709.63 / $2,478.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.23 / $696.24 / $1,495.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.44 / $391.74 / $1,016.26
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.32 / $824.77 / $910.53
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.58 / $621.05 / $2,412.73
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.40 / $805.98 / $1,127.73
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,812.14 / $9,118.81 / $17,453.22
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.51 / $740.28 / $1,074.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $4,016.00 / $16,315.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.17 / $711.08 / $1,285.33
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.28 / $373.52 / $500.97