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Virginia rates for HCPCS 15570

Formation of direct or tubed pedicle, with or without transfer; trunk

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $4,265.80 / $8,317.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,981.07 / $4,466.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,862.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,174.90 / $1,380.38
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,348.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $933.25 / $1,412.54
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $977.24 / $4,073.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $3,467.37 / $5,754.40