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Virginia rates for HCPCS Q4185

Cellesta Flowable Amnion (25 mg per cc); per 0.5 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.62 / $588.62 / $588.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.62 / $588.62 / $588.62
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,160.25 / $1,160.25 / $1,160.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.33 / $781.33 / $781.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,487.00 / $1,491.00 / $1,491.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.62 / $623.94 / $994.77
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