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Washington rates for HCPCS Q4210

Axolotl Graft or Axolotl DualGraft, per sq cm

Insurance Carrier
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $1,376.68 / $2,400.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,160.00 / $3,160.00 / $3,200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.84 / $915.84 / $1,097.28
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.00 / $848.00 / $79,999.20