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Virginia rates for HCPCS 15005

Prep Site F/S/N/H/F/G/M/D Gt Addl 100 Sq Cm/1pct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.12 / $2,561.00 / $8,294.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.33 / $152.33 / $152.33
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$15.23 / $15.23 / $15.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.79 / $134.09 / $159.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.65 / $118.24 / $177.36
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$16.71 / $21.76 / $29.46
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$11.70 / $17.12 / $20.62
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.89 / $122.39 / $1,098.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $1,045.00 / $2,364.00