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Washington rates for HCPCS D4266

Guided Tissue Regeneration, Natural Teeth - Resorbable Barrier, Per Site

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.04 / $299.04 / $299.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.72 / $247.22 / $299.04
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$538.63 / $1,672.15 / $1,672.15
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.79 / $1,750.16 / $2,740.73
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.71 / $376.97 / $5,309.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.71 / $366.17 / $640.86
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
$514.77 / $602.32 / $2,303.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.39 / $394.79 / $394.79