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Virginia rates for HCPCS 20103

Exploration of penetrating wound (separate procedure); extremity

Facilitymedian $813 · 10th–90th $363–$5,7540%5%10th90th$813Professionalmedian $741 · 10th–90th $562–$1,1750%10%20%10th90th$741$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $1,000.00 / $7,079.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,570.40 / $2,951.21
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $416.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $741.31 / $870.96
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $891.25 / $1,348.96
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $588.84 / $954.99
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $457.09 / $2,691.53
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $1,949.84 / $3,890.45