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Virginia rates for HCPCS 11960

Insertion of tissue expander(s) for other than breast, including subsequent expansion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.20 / $3,645.00 / $8,294.00
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
$1,150.92 / $1,150.92 / $1,150.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,074.49 / $1,198.30 / $1,426.55
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$849.69 / $1,115.70 / $1,574.69
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$845.74 / $1,217.60 / $7,030.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,303.00 / $9,270.00 / $17,192.00