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Washington, DC rates for HCPCS Q4121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.75 / $52.75 / $52.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $52.75 / $52.75
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.25 / $34.25 / $34.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.77 / $49.77 / $52.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $52.75 / $67.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.84 / $44.84 / $55.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $52.75 / $85.50