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Washington rates for HCPCS 21440

Closed treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)

Facilitymedian $1,349 · 10th–90th $617$13,1830%5%10%10th90th$1,349Professionalmedian $832 · 10th–90th $490$1,6980%5%10th90th$832$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $2,570.40 / $18,620.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $724.44 / $1,698.24
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $8,511.38 / $17,378.01
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,258.93 / $1,778.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $870.96 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $1,047.13 / $2,041.74
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $933.25 / $1,819.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $933.25 / $1,698.24
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $323.59
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $1,202.26 / $1,479.11
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $933.25 / $1,047.13
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,148.15 / $1,778.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,888.44 / $8,912.51 / $17,378.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,258.93 / $1,737.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $10,232.93 / $19,054.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $794.33 / $1,584.89
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $954.99 / $1,348.96