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Virginia rates for HCPCS Q4165

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

Facilitymedian $46 · 10th–90th $40–$1780%20%40%10th90th$46Professionalmedian $45 · 10th–90th $42–$1260%50%10th90th$45$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $43.65 / $53.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $89.13
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $251.19 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $125.89 / $125.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $173.78 / $3,801.89
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $53.70 / $89.13
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $53.70 / $109.65
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $33.88 / $43.65
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $33.88 / $43.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $6,918.31 / $9,120.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $125.89 / $134.90