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Washington rates for HCPCS 21445

Optx Mandibular/Maxillary Alveolar Ridge Fx Spx

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.55 / $983.92 / $2,056.52
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.48 / $1,642.75 / $5,774.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.85 / $1,342.45 / $2,286.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.04 / $1,337.54 / $2,997.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.65 / $407.79 / $1,511.85
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.11 / $1,492.88 / $1,970.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$948.76 / $1,412.59 / $1,938.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.80 / $1,259.67 / $2,282.42
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.99 / $697.79 / $868.66