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Washington, DC rates for HCPCS Q4103

Oasis Burn Matrix

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.49 / $12.49 / $12.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.49 / $12.49 / $12.49
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.24 / $10.24 / $10.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.78 / $11.78 / $12.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.49 / $12.49 / $15.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.62 / $10.62 / $14.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.49 / $12.49 / $20.23