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Washington, DC rates for HCPCS 15572

Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$909.30 / $2,986.00 / $6,456.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.24 / $774.10 / $933.50
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.98 / $814.98 / $4,930.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.83 / $846.14 / $2,309.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.48 / $2,047.66 / $2,047.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,648.00 / $3,378.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.49 / $896.53 / $2,366.23