go back

Virginia rates for HCPCS 21602

Excision Ch Wal Tum W/Rib W/O Medstnl Lymphadec

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,792.45 / $5,412.00 / $11,425.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,318.00 / $20,977.18 / $29,216.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $640.00 / $1,728.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,452.06 / $1,859.34 / $2,149.05
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,523.58 / $1,992.08 / $2,920.70
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,572.10 / $2,118.17 / $6,765.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,408.00 / $13,296.00 / $26,537.00