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Washington rates for HCPCS Q4119

Matristem wound matrix

Insurance Carrier
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $100.00 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.50 / $4.50 / $4.50
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.42 / $79,999.20 / $79,999.20