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Virginia rates for HCPCS 0054T

Computer-assisted musculoskeletal surgical navigational orthopedic procedure, with image-guidance based on fluoroscopic images (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $3,388.44 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $173.78 / $309.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $158.49
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $275.42 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $186.21 / $229.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $213.80 / $316.23
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $229.09 / $1,479.11
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $229.09 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $1,202.26 / $2,454.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $269.15 / $501.19