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Virginia rates for HCPCS Q4233

SurFactor or NuDyn, per 0.5 cc

Facilitymedian $7,413 · 10th–90th $912–$10,9650%20%40%10th90th$7,413Professionalmedian $550 · 10th–90th $490–$5,1290%20%40%10th90th$550$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $5,128.61 / $5,128.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $489.78 / $912.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $4,677.35 / $4,677.35
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $5,128.61 / $8,709.64
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $7,413.10 / $10,964.78
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $7,413.10 / $10,964.78