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Washington, DC rates for HCPCS A2009

Symphony, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.65 / $76.65 / $76.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.33 / $76.65 / $76.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.13 / $93.13 / $93.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.13 / $93.13 / $93.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.56 / $112.65 / $112.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.30 / $91.30 / $147.97