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Washington, DC rates for HCPCS 40701

Plstc Rpr Cl Lip/Nsl Dfrm Prim Bi 1 Stg Px

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.73 / $4,833.00 / $9,719.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.08 / $1,400.73 / $1,400.73
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,270.09 / $1,289.99 / $6,500.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.93 / $1,209.94 / $3,087.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,247.49 / $2,717.62 / $2,717.62
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
$979.81 / $1,156.98 / $3,303.60