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Virginia rates for HCPCS Q4155

Neox Flo or Clarix Flo 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.62 / $27.96 / $27.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $27.96 / $27.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.84 / $33.96 / $51.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $26.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.63 / $31.94 / $34.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.62 / $26.62 / $42.58
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.40 / $32.00 / $40.96
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.40 / $32.00 / $40.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.19 / $26.62 / $33.40