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Virginia rates for HCPCS 20924

Tendon Graft From A Distance

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.73 / $5,360.00 / $9,539.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,823.00 / $12,004.00 / $15,528.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.83 / $575.83 / $776.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$57.12 / $57.12 / $57.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.49 / $623.99 / $736.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.42 / $658.74 / $970.78
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$86.17 / $124.60 / $183.49
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.76 / $646.16 / $2,230.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,121.00 / $9,270.00 / $17,192.00