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Washington, DC rates for HCPCS 21245

Rcnstj Mndbl/Maxl Subpriosteal Implant Partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $4,833.00 / $9,719.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986.38 / $986.38 / $1,300.34
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.36 / $1,059.42 / $11,208.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.09 / $1,614.67 / $3,323.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,158.89 / $2,826.71 / $2,826.71
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
$930.94 / $2,332.21 / $3,422.39