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Washington, DC rates for HCPCS 15740

Flap Island Pedicle Anatomic Named Axial Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $2,233.50 / $4,601.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.75 / $1,040.77 / $1,289.14
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.98 / $901.92 / $1,845.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.23 / $973.08 / $2,646.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.03 / $2,352.46 / $2,352.46
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
$738.56 / $1,060.26 / $2,718.46