go back

Washington, DC rates for HCPCS Q4100

Skin Substitute, Nos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,258.63 / $6,258.63 / $9,303.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.70 / $35.70 / $35.70
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.00 / $612.00 / $612.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.40 / $125.40 / $125.40