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Virginia rates for HCPCS Q4161

bio-ConneKt wound matrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,590.54 / $1,670.07 / $1,670.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.54 / $1,590.54 / $1,670.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.54 / $1,590.54 / $2,123.05
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.13 / $127.13 / $127.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.51 / $1,500.51 / $1,590.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.54 / $1,590.54 / $1,590.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,351.96 / $1,590.54 / $2,590.69
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,590.54 / $1,590.54 / $2,544.86
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.54 / $224.00 / $331.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.54 / $1,590.54 / $1,996.13