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Washington, DC rates for HCPCS 21497

Interdental Wiring Other Than Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.25 / $3,575.00 / $4,601.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.95 / $633.95 / $767.25
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.66 / $538.50 / $3,307.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.34 / $1,005.38 / $2,080.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,379.65 / $1,669.21 / $1,669.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,030.00 / $2,962.56 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.44 / $1,041.60 / $2,020.97