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Virginia rates for HCPCS 15271

App Skn Sub Grft T/A/L Area/100sq Cm /<1st 25

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.18 / $2,576.00 / $7,275.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.50 / $134.56 / $252.97
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
$79.58 / $139.19 / $212.12
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.17 / $92.17 / $3,426.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.97 / $142.97 / $142.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.48 / $148.13 / $234.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.94 / $178.77 / $212.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.51 / $137.71 / $209.04
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.00 / $192.91 / $289.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.88 / $117.45 / $3,123.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.16 / $196.13 / $3,123.00
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
$122.55 / $158.36 / $268.31