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Virginia rates for HCPCS 15750

Flap; neurovascular pedicle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.77 / $3,645.00 / $8,294.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,051.97 / $1,051.97 / $1,051.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.33 / $1,083.38 / $1,289.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$833.23 / $1,055.04 / $1,630.77
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$893.90 / $1,157.10 / $7,030.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,303.00 / $9,270.00 / $17,192.00