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Virginia rates for HCPCS A2016

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $107.15 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $91.20 / $123.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $15.85 / $33.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $151.36 / $239.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $173.78 / $288.40
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $109.65
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $128.82 / $229.09
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $128.82 / $229.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $128.82