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Washington, DC rates for HCPCS 21142

Rcnstj Midface Lefort I 2 Pieces W/O Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,414.69 / $5,076.00 / $6,945.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,414.69 / $1,414.69 / $1,414.69
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,601.97 / $1,666.99 / $6,846.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,345.42 / $1,942.11 / $3,760.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.91 / $3,101.27 / $3,101.27
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
$1,084.08 / $1,825.75 / $3,754.80