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Washington rates for HCPCS D7283

Placement Of Device To Facilitate Eruption Of Impacted Tooth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.98 / $188.98 / $188.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.12 / $156.25 / $188.98
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.61 / $1,246.93 / $1,246.93
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.00 / $1,283.58 / $2,043.38
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.48 / $136.88 / $435.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.36 / $144.71 / $445.35
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
$383.60 / $448.69 / $469.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.97 / $144.01 / $144.01