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Virginia rates for HCPCS 0058U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.22 / $612.98 / $1,156.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.22 / $264.83 / $305.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.95 / $322.95 / $1,587.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.95 / $5.95 / $9.93
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.37 / $258.37 / $503.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.92 / $603.46 / $1,653.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.93 / $393.13 / $471.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.95 / $387.55 / $477.98
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.86 / $394.74 / $644.85
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.00 / $639.46 / $775.10
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.07 / $322.95 / $518.03
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.07 / $322.95 / $518.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.63 / $135.63 / $135.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.63 / $184.09 / $412.68