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Washington, DC rates for HCPCS 40702

Plstc Rpr Cl Lip/Nsl Dfrm Prim Bi 1 2 Stgs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,177.39 / $3,999.00 / $6,456.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.64 / $1,177.39 / $1,177.39
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,068.67 / $1,084.20 / $7,706.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.66 / $1,018.44 / $2,595.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.05 / $2,286.62 / $2,286.62
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
$761.63 / $1,018.32 / $2,779.68