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Washington, DC rates for HCPCS Q4253

Zenith Amniotic Membrane Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.79 / $75.79 / $75.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.79 / $75.79 / $75.79
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.91 / $31.91 / $31.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.50 / $71.50 / $75.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.79 / $75.79 / $96.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.42 / $64.42 / $1,029.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.79 / $75.79 / $122.84