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Washington, DC rates for HCPCS 21275

Secondary revision of orbitocraniofacial reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $7,244.36 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $851.14 / $2,238.72
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,819.70 / $11,748.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,174.90 / $2,344.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,737.80 / $1,949.84
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
$660.69 / $1,122.02 / $2,344.23