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Washington, DC rates for HCPCS 21206

Osteotomy Maxilla Segmental

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$997.92 / $997.92 / $997.92
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.91 / $1,154.21 / $8,069.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.96 / $1,628.21 / $2,800.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.02 / $2,194.08 / $2,194.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$955.13 / $1,668.96 / $2,691.50