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Washington, DC rates for HCPCS 21141

Rcnstj Midface Lefort I 1 Piece W/O Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,379.58 / $5,076.00 / $6,150.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,379.58 / $1,379.58 / $3,338.58
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,562.06 / $1,619.48 / $3,944.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,316.25 / $1,955.70 / $3,665.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,457.59 / $3,024.01 / $3,024.01
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
$1,175.24 / $2,709.33 / $3,661.25