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Washington, DC rates for HCPCS 21125

Augmentation, mandibular body or angle; prosthetic material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $4,833.00 / $9,719.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.80 / $789.42 / $2,871.62
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.73 / $852.08 / $11,208.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.63 / $2,587.21 / $7,939.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.53 / $6,147.96 / $6,147.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.00 / $9,938.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,407.58 / $4,892.91 / $8,398.20