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Washington, DC rates for HCPCS 21400

Clsd Tx Fx Orbit Except Blowout W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.46 / $3,575.00 / $4,601.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.94 / $179.88 / $232.46
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.47 / $183.81 / $1,845.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.97 / $259.61 / $608.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.65 / $519.79 / $519.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $442.00 / $5,940.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.66 / $268.95 / $629.34