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Virginia rates for HCPCS 0613T

Perq Tcat Impltj Intratrl Septal Shunt Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,330.92 / $8,920.00 / $18,862.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.11 / $1,326.71 / $1,330.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,900.00 / $13,875.00 / $15,752.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.12 / $728.06 / $1,001.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,495.00 / $14,985.00 / $40,100.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.22 / $1,388.66 / $1,712.69
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,151.99 / $1,330.92 / $2,242.14
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,562.00 / $2,111.00 / $2,717.74
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.73 / $1,587.55 / $4,462.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.73 / $1,587.55 / $4,462.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,088.89 / $1,749.90 / $2,637.35