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Washington, DC rates for HCPCS 21245

Reconstruction of mandible or maxilla, subperiosteal implant; partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $5,011.87 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,096.48 / $2,570.40
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $6,918.31 / $15,135.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,445.44 / $3,019.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,137.96 / $2,818.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $16,218.10 / $33,884.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,479.11 / $2,630.27