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Virginia rates for HCPCS 15936

Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $5,495.41 / $10,000.00
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
$1,513.56 / $1,513.56 / $2,290.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $977.24 / $1,148.15
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,445.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,000.00 / $1,659.59
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,174.90 / $5,011.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $3,467.37 / $5,754.40