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Virginia rates for HCPCS 0164T

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.25 / $4,032.00 / $8,920.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.25 / $885.44 / $1,142.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.17 / $776.55 / $10,056.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.18 / $541.16 / $894.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $640.00 / $989.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,832.91 / $2,832.91 / $2,832.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.60 / $801.76 / $927.37
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.25 / $663.17 / $1,283.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,558.00 / $2,002.00 / $2,045.54
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.60 / $986.06 / $2,184.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.60 / $986.06 / $2,184.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.00 / $1,045.00 / $2,364.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.98 / $752.47 / $1,468.84