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Virginia rates for HCPCS Q4125

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.91 / $247.27 / $7,870.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.91 / $138.91 / $138.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.21 / $40.21 / $53.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.91 / $147.26 / $234.77