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Washington, DC rates for HCPCS Q4133

Grafix Prime Grafixpl Prime Stravix And Stravixpl Per Square Centimeter (Desc Rvsd 1/1/19)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.74 / $335.75 / $2,758.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.74 / $138.74 / $138.74
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.00 / $187.00 / $187.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.88 / $130.88 / $138.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.74 / $138.74 / $176.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.93 / $117.93 / $253.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.74 / $138.74 / $224.87