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Virginia rates for HCPCS Q4229

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.36 / $484.42 / $484.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $484.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $618.40
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.60 / $241.60 / $1,226.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.24 / $435.24 / $461.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $461.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.16 / $461.36 / $1,500.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.36 / $461.36 / $755.49
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.45 / $412.52 / $461.36
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.42 / $227.24 / $401.83
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.42 / $227.24 / $401.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $704.66