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Virginia rates for HCPCS 11970

Replacement of tissue expander with permanent implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $3,235.94 / $8,317.64
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,801.89 / $7,079.46 / $10,232.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $13,182.57 / $15,488.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $1,862.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $602.56 / $724.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $891.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $676.08 / $1,071.52
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $794.33 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $11,748.98 / $23,988.33