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Virginia rates for HCPCS 20969

Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,096.96 / $5,412.00 / $11,024.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,738.20 / $20,977.18 / $29,216.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $640.00 / $3,074.84
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,890.19 / $1,890.19 / $1,890.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,565.10 / $3,283.33 / $3,811.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,829.30 / $3,635.00 / $5,102.42
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$707.06 / $841.80 / $1,435.61
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,693.62 / $3,613.92 / $7,902.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $11,074.00 / $21,538.00