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Washington, DC rates for HCPCS 66174

Trluml Dilat Aqueous O/F Can Wo Retention Dev/St

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $4,100.00 / $7,007.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$595.11 / $595.11 / $595.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.16 / $793.48 / $875.54
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.01 / $1,148.33 / $6,500.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.98 / $1,175.51 / $2,191.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.04 / $749.22 / $1,427.20
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
$770.53 / $996.08 / $2,644.30