go back

Washington, DC rates for HCPCS 17004

Destruction Premalignant Lesion 15/>

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.18 / $1,614.00 / $4,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.43 / $160.94 / $223.31
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.78 / $110.78 / $660.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.56 / $159.61 / $338.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.97 / $393.73 / $393.73
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
$135.31 / $179.19 / $453.96