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Virginia rates for HCPCS 23105

Arthrt Glenohumrl Jt W/Synovectomy W/Wo Biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.02 / $5,328.00 / $9,347.59
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
$733.93 / $733.93 / $776.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.17 / $794.60 / $939.07
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$668.81 / $847.17 / $1,260.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.76 / $809.54 / $2,770.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,121.00 / $9,270.00 / $17,192.00