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Washington rates for HCPCS D7953

Bone Replcmt Graft Ridge Preservation Per Site

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.40 / $410.40 / $410.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.27 / $339.27 / $438.82
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,001.28 / $3,113.61 / $3,113.61
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.78 / $3,202.34 / $5,095.43
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.67 / $154.86 / $1,030.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.41 / $167.45 / $1,055.86
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
$958.19 / $1,120.96 / $1,169.82
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.39 / $394.79 / $394.79