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Washington, DC rates for HCPCS 15576

Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$802.83 / $2,986.00 / $6,456.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.13 / $802.83 / $1,005.85
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.30 / $736.30 / $3,430.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.55 / $748.26 / $2,060.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.68 / $1,807.13 / $1,807.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.00 / $1,171.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.91 / $832.60 / $2,088.29