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Washington, DC rates for HCPCS 21421

Closed Tx Palatal/Maxillary Fx W/Fixation/Splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$686.24 / $4,100.00 / $6,945.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.16 / $632.65 / $686.24
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.00 / $604.00 / $6,701.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.62 / $1,077.43 / $1,869.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,262.79 / $1,505.56 / $1,505.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.00 / $9,938.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.04 / $1,348.89 / $1,822.83