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Virginia rates for HCPCS 0164U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.22 / $212.61 / $277.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.02 / $95.22 / $95.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.45 / $545.54 / $688.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.91 / $6.91 / $58.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.81 / $324.24 / $573.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.67 / $128.44 / $160.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.41 / $140.03 / $165.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.25 / $87.38 / $128.82
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.86 / $112.02 / $235.24
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.81 / $128.82 / $465.13
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.30 / $129.94 / $465.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.05 / $56.01 / $84.02