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Virginia rates for HCPCS 11772

Excision of pilonidal cyst or sinus; complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$784.74 / $4,979.88 / $11,863.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$976.12 / $976.12 / $976.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.08 / $902.95 / $1,074.94
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.88 / $749.96 / $1,042.21
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.01 / $718.24 / $5,502.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,349.00 / $6,870.00 / $12,739.00