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Washington rates for HCPCS 21462

Open Tx Mandibular Fx W/Interdental Fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,107.58 / $5,509.95 / $27,982.24
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,594.86 / $16,227.47 / $31,745.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,005.16 / $1,223.70 / $8,773.79
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,345.60 / $2,878.61 / $6,544.11
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,025.41 / $3,801.99 / $4,369.07
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,529.29 / $2,678.93 / $7,594.86
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,761.59 / $16,586.25 / $31,745.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $4,016.00 / $16,315.00