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Washington, DC rates for HCPCS 21076

Impression&Preparation Surg Obturator Prosthes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.89 / $712.89 / $886.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.89 / $853.83 / $886.91
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.75 / $876.24 / $3,430.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.87 / $1,522.54 / $2,341.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,574.83 / $1,968.43 / $1,968.43
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
$744.05 / $1,299.19 / $2,383.23