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Washington rates for HCPCS 40840

Vestibuloplasty Anterior

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,181.60 / $2,155.02 / $19,863.38
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,462.32 / $16,394.00 / $31,745.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,147.74 / $4,147.74 / $6,910.09
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$807.54 / $1,482.40 / $5,194.27
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$981.54 / $1,557.75 / $1,746.69
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,171.01 / $1,191.40 / $2,513.62
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
$1,550.00 / $2,431.00 / $11,261.00