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Virginia rates for HCPCS 21049

Exc B9 Tum/Cst Maxl Xtr-Oral Osteot&Prtl Maxlc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.72 / $1,240.75 / $1,527.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.46 / $1,352.71 / $2,236.42
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,273.92 / $1,351.75 / $6,433.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.11 / $1,584.52 / $2,568.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.23 / $1,409.57 / $1,629.95
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,511.00 / $1,709.00 / $2,393.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,103.51 / $1,574.77 / $5,140.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.93 / $1,505.21 / $2,286.40