go back

Virginia rates for HCPCS 14040

Adjt Tis Trns/Reargmt F/C/C/M/N/A/G/H/F 10sqcm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$849.06 / $3,015.88 / $7,284.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.08 / $734.87 / $1,383.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.39 / $800.77 / $1,126.04
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.17 / $695.17 / $3,426.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,051.84 / $1,051.84 / $1,051.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.11 / $816.40 / $1,435.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.44 / $891.63 / $1,061.46
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.03 / $803.48 / $1,155.15
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.00 / $1,071.00 / $1,509.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.24 / $831.06 / $3,123.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.73 / $951.63 / $3,265.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,911.00 / $3,175.00 / $5,340.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.16 / $794.25 / $1,346.80