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Virginia rates for HCPCS 15274

App Skn Sub Grft T/A/L Area>=100scm Adl 100sqcm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.91 / $1,938.00 / $8,582.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.09 / $69.06 / $128.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.02 / $73.05 / $111.33
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.29 / $46.29 / $916.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.58 / $74.58 / $74.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.17 / $76.69 / $125.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.53 / $92.56 / $110.19
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.12 / $73.19 / $103.10
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.00 / $95.00 / $150.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.43 / $61.15 / $1,098.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.40 / $99.84 / $1,098.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $1,148.00 / $2,364.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.34 / $84.45 / $144.47