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Washington rates for HCPCS D7321

Alveoloplsty Not Cnjnc Xtrct 1-3 Teeth/Spce Quad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.74 / $228.74 / $228.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.13 / $202.40 / $228.74
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,254.48 / $3,728.65 / $3,728.65
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.14 / $1,328.36 / $2,065.65
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.03 / $287.02 / $645.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.03 / $287.02 / $486.29
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
$310.83 / $454.68 / $474.36
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.00 / $232.14 / $232.14