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Virginia rates for HCPCS 21139

Rdctj Fhd Cntrg & Setback Ant Frontal Sinus Wall

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,257.09 / $3,633.00 / $8,920.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.25 / $1,138.27 / $1,442.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.22 / $1,285.10 / $2,124.67
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.00 / $1,170.82 / $2,212.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $640.00 / $1,224.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.14 / $1,331.24 / $2,438.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.43 / $1,326.63 / $1,562.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,131.58 / $1,425.00 / $2,137.07
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,323.00 / $1,491.00 / $2,069.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$978.57 / $1,347.36 / $4,747.25
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.57 / $1,347.36 / $4,747.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,423.00 / $11,074.00 / $21,639.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$823.56 / $1,273.53 / $2,111.51