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Washington, DC rates for HCPCS A6025

Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.31 / $14.31 / $14.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.50 / $14.31 / $14.31
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.25 / $24.25 / $24.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $13.47 / $13.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.95 / $38.89 / $38.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.64 / $12.95 / $17.44