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Virginia rates for HCPCS 12020

Treatment of superficial wound dehiscence; simple closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.93 / $1,784.50 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.94 / $259.93 / $478.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.00 / $2,390.00 / $2,954.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.62 / $278.07 / $421.38
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.97 / $160.97 / $2,413.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.04 / $319.04 / $319.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.52 / $294.07 / $512.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.61 / $350.96 / $417.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.39 / $271.63 / $401.10
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.00 / $383.00 / $559.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.12 / $245.64 / $1,169.82
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.31 / $367.97 / $1,272.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $1,045.00 / $2,364.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.02 / $299.02 / $525.35