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Washington, DC rates for HCPCS Q4184

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.04 / $80.04 / $80.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $80.04
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.23 / $88.23 / $88.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.51 / $75.51 / $80.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $101.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.03 / $68.03 / $530.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $129.72