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Washington rates for HCPCS 41874

Alveoloplasty Each Quadrant Specify

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.72 / $911.14 / $14,464.32
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,308.60 / $12,053.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.48 / $714.97 / $947.00
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.26 / $568.16 / $1,093.07
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.24 / $723.78 / $777.87
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.66 / $523.66 / $526.91
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,916.52 / $9,118.81 / $17,453.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$805.00 / $1,681.00 / $3,740.00