go back

Washington rates for HCPCS D3460

Endodontic Endosseous Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$689.21 / $689.21 / $3,201.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.65 / $689.21 / $738.73
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,325.94 / $3,299.61 / $3,299.61
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,539.00 / $3,767.33 / $3,879.51
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.29 / $1,443.25 / $2,059.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.29 / $1,380.64 / $1,887.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $50.00 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$567.23 / $829.43 / $995.62
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.10 / $2,220.67 / $2,220.67