go back

Washington, DC rates for HCPCS Q4158

Kerecis Omega3, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.27 / $67.27 / $67.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $67.27 / $67.27
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.69 / $58.69 / $58.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.47 / $63.47 / $67.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $67.27 / $85.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.18 / $57.18 / $199.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $67.27 / $109.03