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Washington, DC rates for HCPCS 96004

Phys/Qhp R&I Cptr Mtn Alys Walk/Funcjl Actv Repr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.38 / $101.38 / $101.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.87 / $101.38 / $111.58
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.22 / $123.58 / $203.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.91 / $263.06 / $443.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.12 / $237.48 / $237.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.15 / $222.54 / $307.74