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Washington rates for HCPCS 40899

Unlisted procedure, vestibule of mouth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $15,848.93 / $28,183.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,174.90 / $12,589.25
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $676.08 / $977.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $50.12 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $588.84 / $588.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $691.83 / $1,318.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $891.25 / $2,041.74