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Washington, DC rates for HCPCS 40842

Vestibuloplasty; posterior, unilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.66 / $803.66 / $1,127.19
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.09 / $739.08 / $4,930.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.15 / $953.58 / $2,123.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.25 / $2,176.86 / $2,176.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.78 / $1,163.98 / $2,646.24