go back

Virginia rates for HCPCS Q4218

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.50 / $127.50 / $127.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $127.50 / $127.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.50 / $127.50 / $171.20
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.50 / $127.50 / $127.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.50 / $127.50 / $127.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.50 / $127.50 / $127.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.50 / $150.00 / $194.18
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.50 / $150.00 / $150.00
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
$150.00 / $150.00 / $157.50