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Washington, DC rates for HCPCS 43763

Perq Replacement Gtube Req Revj Gstrst Trc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.79 / $2,761.00 / $4,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.01 / $133.22 / $418.79
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.18 / $92.16 / $573.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.72 / $292.76 / $831.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.19 / $367.63 / $793.24
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
$177.39 / $358.22 / $964.28