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Washington, DC rates for HCPCS 40700

Plstc Rpr Cl Lip/Nsl Dfrm Prim Prtl/Compl Uni

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,188.83 / $4,833.00 / $9,719.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.20 / $1,188.83 / $1,188.83
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.30 / $1,094.59 / $9,067.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.73 / $1,027.60 / $2,619.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.50 / $2,309.35 / $2,309.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,261.00 / $4,165.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.45 / $1,024.75 / $2,807.30