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Virginia rates for HCPCS 20103

Exploration of penetrating wound (separate procedure); extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $1,000.00 / $7,079.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,570.40 / $2,951.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $741.31 / $870.96
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $891.25 / $1,348.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $602.56 / $1,023.29
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $457.09 / $2,691.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $2,137.96 / $3,981.07