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Virginia rates for HCPCS 15276

Sub Grft F/S/N/H/F/G/M/D<100sq Cm Ea Addl25sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.63 / $1,065.93 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.26 / $29.26 / $43.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.48 / $32.40 / $47.65
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.74 / $25.74 / $916.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.41 / $42.41 / $42.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $35.07 / $64.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.78 / $37.34 / $44.45
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.34 / $32.79 / $49.20
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.00 / $45.00 / $71.40
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.23 / $34.27 / $1,098.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.22 / $45.63 / $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
$27.97 / $36.71 / $61.63