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Washington, DC rates for HCPCS 84150

Prostaglandin, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.33 / $89.21 / $255.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.33 / $31.33 / $31.33
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.24 / $109.17 / $249.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.88 / $70.59 / $152.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.95 / $47.91 / $59.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.91 / $84.91 / $84.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.31 / $21.87 / $38.01