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Virginia rates for HCPCS 15272

App Skn Sub Grft T/A/L Area/100sq Cm Ea Adl 25sc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.21 / $1,247.56 / $6,827.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.04 / $24.53 / $43.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.86 / $23.48 / $34.52
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$23.87 / $35.22 / $51.79
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.07 / $18.07 / $916.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.59 / $28.59 / $28.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.80 / $25.15 / $47.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.34 / $28.00 / $33.34
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.20 / $24.02 / $37.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.00 / $34.00 / $56.10
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.25 / $23.65 / $1,098.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.53 / $35.15 / $1,098.00
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
$21.66 / $29.93 / $50.42