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Virginia rates for HCPCS Q4170

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.31 / $41.28 / $41.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $41.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $52.47
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $72.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.09 / $37.09 / $39.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $39.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.40 / $39.31 / $736.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.31 / $41.28 / $132.78
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.78 / $129.78 / $222.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $44.03