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Virginia rates for HCPCS 21155

Rcnstj Midface Lefort Iii W/Lefort I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,452.34 / $5,412.00 / $11,024.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,025.02 / $2,223.96 / $2,872.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,685.00 / $17,371.00 / $24,194.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,988.39 / $2,542.71 / $4,203.85
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,506.37 / $2,525.07 / $7,889.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $640.00 / $2,447.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,103.90 / $2,898.22 / $4,734.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,042.77 / $2,614.75 / $3,038.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,223.96 / $2,905.21 / $4,583.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,621.00 / $3,107.00 / $4,249.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,066.79 / $2,916.07 / $6,585.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,066.79 / $2,916.07 / $6,585.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,423.00 / $11,475.00 / $21,639.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,776.56 / $2,734.30 / $4,271.20