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Washington, DC rates for HCPCS 64862

Suture Lumbar Plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,402.10 / $3,999.00 / $6,456.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,402.10 / $1,402.10 / $1,402.10
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.00 / $1,624.29 / $2,298.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,280.60 / $2,131.80 / $3,553.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,506.60 / $3,124.89 / $3,124.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,261.00 / $4,165.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.01 / $1,765.12 / $3,698.69