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Washington rates for HCPCS 40819

Exc Frenum Labial/Buccal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.34 / $863.99 / $14,464.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.18 / $319.75 / $701.72
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,415.04 / $4,321.81 / $11,500.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.39 / $565.24 / $2,017.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.63 / $934.63 / $1,557.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.59 / $530.90 / $825.69
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.10 / $575.94 / $1,381.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.32 / $532.64 / $870.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.92 / $299.88 / $618.65
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.85 / $538.78 / $615.05
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.76 / $371.08 / $541.04
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.39 / $488.09 / $684.06
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,153.55 / $4,319.34 / $8,267.12
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.84 / $466.68 / $628.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$879.00 / $1,689.00 / $7,385.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.64 / $569.02 / $809.62