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Virginia rates for HCPCS Q4181

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

Insurance Carrier
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.50 / $154.50 / $154.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.65 / $179.60 / $179.60
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,750.00 / $10,945.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $1,750.00 / $10,945.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.56 / $199.56 / $209.54