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Virginia rates for HCPCS 22102

Prtl Exc Pst Vrt Intrnsc B1y Les 1 Vrt Sgm Lmbr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$916.17 / $5,087.00 / $8,920.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,823.00 / $12,004.00 / $15,528.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.98 / $875.98 / $1,700.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$87.09 / $87.09 / $87.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.18 / $933.35 / $1,097.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.59 / $1,028.65 / $1,496.70
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$129.08 / $144.08 / $294.58
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$757.93 / $1,039.74 / $3,564.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,408.00 / $13,296.00 / $26,537.00