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Virginia rates for HCPCS Q4226

MyOwn Skin, includes harvesting and preparation procedures, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,202.26 / $1,445.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,949.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,230.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $478.63 / $478.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,348.96 / $1,949.84
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,445.44 / $1,445.44
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $302.00 / $1,148.15
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $302.00 / $1,148.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,258.93