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Washington rates for HCPCS D6930

Recement Fixed Partial Denture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.38 / $60.38 / $60.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $54.97 / $60.38
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.70 / $247.97 / $247.97
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.00 / $300.23 / $405.60
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.15 / $108.26 / $135.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.34 / $109.59 / $136.53
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
$61.02 / $89.21 / $93.13
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.05 / $145.33 / $145.33