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Virginia rates for HCPCS 0103U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,480.23 / $3,310.02 / $5,371.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.00 / $995.00 / $3,310.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,246.05 / $5,444.51 / $6,875.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.33 / $335.33 / $559.79
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,395.16 / $1,395.16 / $2,720.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,133.57 / $3,245.63 / $8,934.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,124.11 / $2,124.11 / $2,544.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,743.95 / $2,092.73 / $2,581.05
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,007.30 / $1,451.84 / $2,068.26
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,319.00 / $3,453.02 / $4,185.47
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.27 / $1,743.95 / $3,226.31
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.11 / $1,743.95 / $3,296.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.55 / $581.35 / $1,285.68