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Washington, DC rates for HCPCS 12017

Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $3,575.00 / $4,601.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.96 / $150.80 / $150.80
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.18 / $133.18 / $1,845.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.13 / $156.44 / $395.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.44 / $340.84 / $340.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $442.00 / $5,940.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.20 / $204.25 / $393.87