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Washington, DC rates for HCPCS 21079

Impression & Preparation Interim Obturator Prost

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.24 / $1,427.78 / $1,488.25
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,280.82 / $1,449.13 / $5,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.75 / $2,553.03 / $3,948.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,603.52 / $3,304.42 / $3,304.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,299.54 / $2,203.63 / $4,000.76