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Virginia rates for HCPCS 15933

Excision, sacral pressure ulcer, with primary suture; with ostectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$959.89 / $5,087.00 / $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
$984.64 / $984.64 / $984.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.96 / $1,015.53 / $1,208.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.20 / $986.51 / $1,382.10
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$829.96 / $1,056.54 / $5,502.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,349.00 / $6,870.00 / $12,739.00