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Washington, DC rates for HCPCS Q4117

Hyalomatrix Per Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.39 / $24.39 / $24.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.39 / $24.39 / $24.39
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.09 / $13.09 / $13.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.39 / $24.39 / $24.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.39 / $24.39 / $24.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.94 / $34.36 / $34.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.69 / $28.69 / $46.50