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Washington rates for HCPCS D7260

Oroantral Fistula Closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.91 / $589.91 / $589.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.16 / $589.91 / $632.99
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,515.10 / $3,202.14 / $3,202.14
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,233.70 / $3,215.85 / $3,763.97
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.51 / $1,298.43 / $2,059.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.51 / $1,182.92 / $1,778.88
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
$605.87 / $708.79 / $1,330.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,010.61 / $1,233.70 / $1,233.70