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Virginia rates for HCPCS 00790

Anes Intraperitoneal Upper Abdomen W/Laps Nos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $421.52 / $1,288.16
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$554.40 / $554.40 / $554.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.00 / $568.00 / $720.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.03 / $2,460.00 / $3,184.32
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.60 / $64.00 / $92.88