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Virginia rates for HCPCS Q4134

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.77 / $137.77 / $137.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.66 / $137.77 / $137.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.08 / $162.08 / $216.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.08 / $162.08 / $162.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.08 / $162.08 / $162.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.00 / $239.00 / $239.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.77 / $162.08 / $210.70
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.08 / $162.08 / $162.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.97 / $162.08 / $170.18