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Washington, DC rates for HCPCS 15004

Prep Site F/S/N/H/F/G/M/D Gt 1st 100 Sq Cm/1pct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.83 / $1,614.00 / $4,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.16 / $344.42 / $497.66
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.14 / $287.14 / $1,951.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.39 / $372.00 / $868.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.16 / $905.65 / $1,078.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $442.00 / $5,940.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.70 / $406.57 / $1,144.63