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Washington rates for HCPCS 41899

Unlisted Procedure Dentoalveolar Structures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$922.81 / $4,497.00 / $18,711.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.00 / $7,628.18 / $8,376.29
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $594.07 / $1,324.12
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.90 / $8,044.17 / $64,999.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $714.97 / $947.00
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.07 / $284.85 / $1,620.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $50.00 / $60.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.85 / $369.00 / $591.00
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.30 / $159.49 / $238.32
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.87 / $691.81 / $1,324.12
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.30 / $1,107.07 / $1,671.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.00 / $497.00 / $5,793.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.00 / $750.00 / $750.00