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Virginia rates for HCPCS Q4225

AmnioBind or DermaBind TL, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,427.45 / $1,498.82 / $1,498.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,498.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,905.36
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,427.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.65 / $1,346.65 / $1,427.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,427.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,213.33 / $1,427.45 / $1,575.92
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,427.45 / $1,470.27 / $2,283.92
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $2,569.00 / $2,569.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,512.30 / $1,693.78 / $2,811.37
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,512.30 / $1,693.78 / $2,811.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,575.92 / $2,288.69 / $2,288.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,523.09