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Virginia rates for HCPCS A2007

Restrata, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.70 / $205.70 / $205.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.60 / $205.70 / $205.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.60 / $193.60 / $259.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.70 / $205.70 / $205.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.70 / $205.70 / $205.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.25 / $96.01 / $124.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.39 / $242.00 / $313.27
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.00 / $144.00 / $195.74
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.54 / $98.58 / $179.11
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.54 / $98.58 / $179.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.00 / $220.00 / $234.74