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Virginia rates for HCPCS 0004M

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.15 / $149.94 / $282.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.25 / $67.15 / $67.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.60 / $31.60 / $51.35
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.20 / $71.09 / $138.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.35 / $173.95 / $404.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.45 / $87.45 / $104.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $94.80 / $116.92
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.77 / $90.85 / $141.96
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.00 / $138.00 / $189.60
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.30 / $79.00 / $126.72
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.30 / $79.00 / $126.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.18 / $41.08 / $90.85