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Washington, DC rates for HCPCS 15100

Split Agrft T/A/L 1st 100 Cm/&/1% Bdy Inft/Chld

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.11 / $2,173.42 / $4,601.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.99 / $803.64 / $1,062.96
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.21 / $783.21 / $2,642.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.66 / $828.98 / $2,311.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.04 / $2,013.94 / $2,398.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.00 / $6,580.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.88 / $874.04 / $2,488.63