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Virginia rates for HCPCS 12016

Simple Repair F/E/E/N/L/M 12.6cm-20.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.85 / $2,998.00 / $8,294.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.00 / $2,390.00 / $2,954.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.66 / $219.66 / $219.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.36 / $255.68 / $304.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.20 / $221.18 / $384.02
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.05 / $192.98 / $1,098.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $1,045.00 / $2,364.00