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Washington, DC rates for HCPCS 21255

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,391.16 / $4,100.00 / $6,945.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,391.16 / $1,391.16 / $1,391.16
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,571.57 / $1,620.44 / $6,846.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,330.74 / $2,042.37 / $3,707.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,463.29 / $3,042.40 / $3,042.40
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
$1,170.63 / $2,615.26 / $3,888.38