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Washington, DC rates for HCPCS 72255

Myelography Thoracic Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.96 / $114.96 / $114.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.81 / $114.96 / $114.96
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.10 / $148.82 / $603.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.64 / $497.44 / $6,216.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.88 / $190.64 / $355.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.67 / $252.10 / $252.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.08 / $162.12 / $319.44