go back

Washington rates for HCPCS 21407

Open Tx Fx Orbit Except Blowout W/Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.50 / $5,132.00 / $22,024.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.27 / $823.93 / $1,848.36
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,771.02 / $15,599.20 / $31,745.76
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.92 / $1,413.75 / $6,294.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,005.16 / $1,223.70 / $6,910.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.42 / $1,170.52 / $1,964.28
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.82 / $1,390.04 / $6,059.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.04 / $1,354.70 / $5,218.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.68 / $372.59 / $1,236.26
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.92 / $1,244.19 / $1,294.44
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$858.44 / $882.92 / $5,317.93
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.69 / $1,404.56 / $1,752.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,761.59 / $16,586.25 / $31,745.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.49 / $1,256.72 / $1,701.92
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
$776.16 / $1,050.89 / $1,837.31
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.03 / $543.03 / $709.99