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Virginia rates for HCPCS 38243

Hematopoietic progenitor cell (HPC); HPC boost

Facilitymedian $3,236 · 10th–90th $135–$8,3180%5%10th90th$3,236Professionalmedian $135 · 10th–90th $107–$2,8180%10%20%10th90th$135$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $3,235.94 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $131.83 / $1,230.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,981.07 / $4,466.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $144.54 / $199.53
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,548.13 / $4,365.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $131.83 / $147.91
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $158.49 / $223.87
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $524.81 / $10,000.00
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $524.81 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $3,162.28 / $5,754.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $190.55 / $269.15