go back

Virginia rates for HCPCS Q4110

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.41 / $68.68 / $68.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.41 / $65.41 / $68.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.41 / $65.41 / $87.67
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.33 / $39.33 / $60.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.70 / $61.70 / $65.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.40 / $65.40 / $65.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.60 / $65.41 / $85.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.13 / $65.41 / $99.66
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $75.04 / $93.74
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.40 / $77.17 / $98.10
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.40 / $77.17 / $98.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.41 / $65.41 / $73.26