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Washington, DC rates for HCPCS Q2004

Bladder Calculi Irrig Sol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.22 / $103.22 / $103.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.22 / $103.22 / $103.22
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.27 / $101.27 / $101.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.11 / $34.11 / $34.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.08 / $101.19 / $164.01