go back

Virginia rates for HCPCS 21230

Graft; rib cartilage, autogenous, to face, chin, nose or ear (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,383.38 / $5,636.00 / $14,798.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$845.35 / $845.35 / $1,200.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.87 / $911.19 / $1,066.57
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$777.18 / $1,003.73 / $1,494.57
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$738.28 / $966.36 / $3,232.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,423.00 / $11,475.00 / $21,639.00