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Virginia rates for HCPCS 11971

Removal of tissue expander without insertion of implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $1,949.84 / $8,317.64
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,230.27 / $8,709.64 / $15,848.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $6,760.83 / $7,413.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $933.25 / $1,318.26
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
$501.19 / $501.19 / $660.69
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $512.86 / $794.33
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $549.54 / $8,709.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $7,244.36 / $14,125.38