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Washington, DC rates for HCPCS 40801

Drg Absc Cst Hmtma Vestibule Mouth Comp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.86 / $4,004.00 / $4,601.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.94 / $232.94 / $350.86
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.31 / $213.98 / $2,116.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.00 / $358.93 / $697.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.14 / $682.89 / $682.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $442.00 / $5,940.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.18 / $438.36 / $830.13