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Washington, DC rates for HCPCS 57155

Insertion Uterine Tandem&/Vaginal Ovoids

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.53 / $3,575.00 / $4,601.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.52 / $300.33 / $336.53
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.31 / $312.19 / $3,078.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.54 / $506.03 / $1,024.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.33 / $917.66 / $917.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$665.00 / $762.00 / $6,342.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.00 / $648.28 / $1,065.08