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Washington, DC rates for HCPCS Q4248

Dermacyte amniotic membrane allograft, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.20 / $555.20 / $555.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.20 / $555.20 / $555.20
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.00 / $1,003.00 / $1,003.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.78 / $523.78 / $555.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.20 / $555.20 / $707.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.92 / $471.92 / $2,427.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.20 / $555.20 / $899.86