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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
$429.75 / $2,190.00 / $8,294.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,307.00 / $8,614.50 / $15,975.88
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
$627.16 / $627.16 / $627.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.29 / $649.34 / $773.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.23 / $515.79 / $726.95
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$522.00 / $777.23 / $828.86
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.58 / $538.79 / $5,502.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,349.00 / $6,870.00 / $12,739.00