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Washington, DC rates for HCPCS Q4110

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.41 / $65.41 / $65.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.41 / $65.41 / $65.41
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.33 / $39.33 / $39.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.70 / $61.70 / $65.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.40 / $65.40 / $83.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.60 / $55.60 / $85.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.41 / $65.41 / $106.02