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Washington, DC rates for HCPCS 21215

Graft Bone Mandible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $7,278.00 / $9,719.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.06 / $873.63 / $4,507.25
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.48 / $1,010.44 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.81 / $3,334.86 / $12,275.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,792.19 / $9,691.53 / $9,691.53
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
$3,334.85 / $8,683.04 / $11,733.82