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Washington, DC rates for HCPCS 40804

Rmvl Embedded Fb Vestibule Mouth Smpl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.83 / $1,614.00 / $7,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.83 / $134.83 / $229.25
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.98 / $133.24 / $2,642.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.72 / $238.67 / $491.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.33 / $447.62 / $447.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.00 / $1,171.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.12 / $308.86 / $544.14