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Virginia rates for HCPCS 23020

Capsular Contracture Release

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.46 / $3,645.00 / $8,920.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.00 / $572.00 / $789.35
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$78.29 / $78.29 / $78.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.86 / $853.58 / $1,008.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.00 / $913.78 / $1,330.57
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$117.49 / $136.22 / $249.98
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$670.11 / $874.94 / $2,944.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,121.00 / $9,270.00 / $17,192.00