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Washington, DC rates for HCPCS 12004

Simple Rpr Scalp/Neck/Ax/Genit/Trunk 7.6-12.5cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.91 / $1,793.00 / $4,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.91 / $109.47 / $186.32
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.83 / $64.83 / $660.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.80 / $126.71 / $279.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.52 / $309.80 / $309.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $549.00 / $5,940.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.45 / $146.50 / $358.00