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Washington, DC rates for HCPCS Q4188

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.59 / $487.59 / $487.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.59 / $487.59 / $487.59
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.59 / $487.59 / $845.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.99 / $459.99 / $487.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.59 / $487.59 / $620.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.45 / $414.45 / $881.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.59 / $487.59 / $790.28