go back

Virginia rates for HCPCS 20103

Exploration of penetrating wound (separate procedure); extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.55 / $1,597.97 / $8,294.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.00 / $2,390.00 / $2,954.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.00 / $420.00 / $585.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.05 / $686.87 / $811.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.51 / $628.00 / $966.52
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.85 / $452.03 / $1,291.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$921.00 / $1,890.00 / $3,765.00