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Washington, DC rates for HCPCS Q4141

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.97 / $106.97 / $106.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.97 / $106.97 / $106.97
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.16 / $99.16 / $99.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.91 / $100.91 / $106.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.97 / $106.97 / $136.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.92 / $90.92 / $106.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.97 / $106.97 / $173.37