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Washington, DC rates for HCPCS 22904

Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $4,073.80 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,071.52 / $1,445.44
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $3,235.94 / $7,079.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,380.38 / $2,951.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $2,137.96 / $2,398.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $8,128.31 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,348.96 / $2,754.23