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Virginia rates for HCPCS 21031

Excision Torus Mandibularis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.45 / $344.01 / $442.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.00 / $322.26 / $532.79
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.48 / $325.18 / $4,117.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.95 / $418.42 / $755.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.80 / $470.76 / $556.35
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.00 / $545.00 / $720.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.08 / $482.07 / $1,770.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.37 / $453.42 / $734.64