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Washington, DC rates for HCPCS Q4108

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.54 / $38.54 / $38.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $38.54 / $38.54
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.70 / $30.70 / $30.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.36 / $36.36 / $38.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $38.54 / $49.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.76 / $32.76 / $87.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $38.54 / $62.46