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Washington, DC rates for HCPCS Q4180

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.12 / $656.12 / $656.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.12 / $656.12 / $656.12
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.27 / $129.27 / $129.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$618.98 / $618.98 / $656.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.12 / $656.12 / $835.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.70 / $557.70 / $1,501.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.12 / $656.12 / $1,063.43