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Washington, DC rates for HCPCS Q4155

Neox Flo or Clarix Flo 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $33.96 / $70.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $26.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.63 / $22.63 / $26.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.22 / $26.62 / $43.15