go back

Washington, DC rates for HCPCS Q4140

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.62 / $161.62 / $161.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $161.62 / $161.62
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.16 / $164.16 / $164.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.47 / $152.47 / $161.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $161.62 / $205.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.38 / $137.38 / $186.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $161.62 / $261.95