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Washington, DC rates for HCPCS 38200

Injection Procedure Splenoportograpy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $2,080.00 / $4,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.35 / $129.19 / $129.19
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.99 / $145.99 / $603.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.66 / $177.92 / $324.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.53 / $283.60 / $283.60
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
$117.70 / $286.97 / $338.46