go back

Virginia rates for HCPCS Q4141

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.97 / $112.32 / $112.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.97 / $106.97 / $112.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.97 / $106.97 / $142.78
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.16 / $99.16 / $99.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.91 / $100.91 / $106.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.97 / $106.97 / $106.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.92 / $105.08 / $106.97
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.97 / $106.97 / $171.06
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.00 / $69.00 / $106.45
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.38 / $106.45 / $140.07
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.38 / $106.45 / $140.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.97 / $106.97 / $114.14