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Washington, DC rates for HCPCS Q4153

Dermavest And Plurivest Per Square Centimeter (Revised 01/01/2016)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.93 / $137.93 / $137.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $137.93 / $137.93
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.00 / $221.00 / $221.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.12 / $130.12 / $137.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $137.93 / $175.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.24 / $117.24 / $274.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $137.93 / $223.55