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Virginia rates for HCPCS Q4234

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.94 / $581.63 / $581.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $581.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $742.50
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.79 / $37.79 / $626.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.58 / $522.58 / $553.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $553.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.84 / $553.92 / $1,545.82
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.94 / $581.63 / $924.79
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.00 / $1,107.00 / $1,509.34
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.58 / $960.06 / $1,844.47
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.58 / $960.06 / $1,844.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.92 / $553.94 / $609.16