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Virginia rates for HCPCS Q4162

Woundex Flow Bioskin Flow 0.5 Cc (Desc Revised 1/1/2018)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,870.00 / $1,870.00 / $1,870.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,760.00 / $1,870.00 / $1,870.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,760.00 / $1,760.00 / $2,359.10
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,994.31 / $1,994.31 / $1,994.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,870.00 / $1,870.00 / $1,870.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,870.00 / $1,870.00 / $1,870.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,053.34 / $2,310.00 / $2,310.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,870.00 / $2,200.00 / $2,848.01
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,090.00 / $2,200.00 / $2,200.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,090.00 / $2,255.00 / $3,300.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,090.00 / $2,255.00 / $3,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,200.00 / $2,200.00 / $2,566.67