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Virginia rates for HCPCS Q4210

Axolotl Graft or Axolotl DualGraft, per sq cm

Insurance Carrier
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.00 / $821.00 / $821.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769.85 / $785.96 / $1,308.75
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,158.33 / $1,477.00 / $2,035.20