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Washington, DC rates for HCPCS 21100

Appl Halo Appliance Maxillofacial Fixation Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$665.73 / $3,575.00 / $4,601.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.16 / $404.70 / $665.73
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.60 / $383.55 / $1,575.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.46 / $829.25 / $1,797.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.68 / $1,455.43 / $1,455.43
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
$556.07 / $869.05 / $1,762.14