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Washington, DC rates for HCPCS 23155

Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $5,495.41 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $812.83 / $2,238.72
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $3,715.35 / $13,182.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,174.90 / $2,238.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,621.81 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $16,218.10 / $35,481.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,047.13 / $2,238.72