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Washington, DC rates for HCPCS 40845

Vestibuloplasty; complex (including ridge extension, muscle repositioning)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $4,073.80 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,548.82 / $3,981.07
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $3,715.35 / $7,943.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,778.28 / $3,715.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,659.59 / $3,388.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $16,218.10 / $33,884.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,737.80 / $3,388.44