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Washington rates for HCPCS 29804

Arthroscopy, temporomandibular joint, surgical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $7,762.47 / $20,892.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $870.96 / $4,466.84
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,288.25 / $4,265.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,174.90 / $1,230.27
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $977.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $9,120.11 / $17,378.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $11,220.18 / $18,620.87