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Washington rates for HCPCS 21445

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $831.76 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,174.90 / $2,344.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,230.27 / $3,090.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $331.13
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,479.11 / $1,949.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,288.25 / $1,905.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,023.29 / $1,949.84
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $794.33 / $1,096.48