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Washington, DC rates for HCPCS 21485

Closed Tx Temporomandibular Dislc Comp 1st/Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $3,575.00 / $4,601.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.68 / $860.68 / $1,059.50
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.85 / $919.18 / $2,116.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.71 / $962.26 / $2,885.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,848.62 / $2,272.86 / $2,272.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.00 / $1,171.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.87 / $1,611.49 / $2,751.82