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Virginia rates for HCPCS 15958

Exc Trchntric Pr Ulc Musc/Myoq Flap/Skin W/Ostc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,331.05 / $5,360.00 / $9,975.00
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
$1,323.66 / $1,323.66 / $1,323.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,216.74 / $1,345.63 / $1,601.94
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,081.34 / $1,331.05 / $1,853.59
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.39 / $1,474.94 / $7,030.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,303.00 / $9,270.00 / $17,192.00