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Washington, DC rates for HCPCS 21143

Rcnstj Midface Lefort I 3/> Piece W/O Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,456.56 / $5,076.00 / $6,945.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,456.56 / $1,456.56 / $1,456.56
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,650.35 / $1,714.63 / $6,846.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.19 / $2,044.58 / $3,871.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,540.08 / $3,194.92 / $3,194.92
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
$1,150.10 / $1,933.86 / $3,868.18