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Washington, DC rates for HCPCS 21246

Rcnstj Mndbl/Maxl Subpriosteal Implant Complete

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
$877.00 / $877.00 / $877.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.19 / $944.76 / $14,265.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.97 / $1,311.54 / $2,329.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.85 / $1,925.23 / $1,925.23
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
$695.12 / $1,724.89 / $2,330.92