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Virginia rates for HCPCS Q4100

Skin substitute, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.47 / $4,036.03 / $7,334.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.74 / $38.59 / $2,673.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.61 / $12.61 / $22.75
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.00 / $612.00 / $612.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.40 / $125.40 / $125.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.65 / $34.65 / $249.50