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Washington, DC rates for HCPCS Q4258

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.75 / $89.75 / $89.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $89.75
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.23 / $66.23 / $66.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.67 / $84.67 / $89.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $114.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.29 / $76.29 / $1,500.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $145.47