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Washington, DC rates for HCPCS 21047

Exc B9 Tum/Cst Mndbl Xtr-Oral Osteot&Prtl Mndb

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,246.63 / $3,575.00 / $4,601.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.63 / $1,246.63 / $1,246.63
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,341.77 / $1,431.48 / $6,458.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,189.97 / $1,966.23 / $3,420.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,322.19 / $2,734.25 / $2,734.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,261.00 / $4,165.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.75 / $2,870.31 / $3,598.34