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Virginia rates for HCPCS 23174

Sequestrectomy (eg, for osteomyelitis or bone abscess), humeral head to surgical neck

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,088.00 / $3,645.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.21 / $806.42 / $1,068.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.71 / $915.69 / $1,513.91
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.00 / $875.51 / $1,567.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.00 / $572.00 / $874.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.28 / $989.18 / $1,665.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.89 / $947.09 / $1,119.29
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$786.92 / $1,011.15 / $1,475.75
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.00 / $1,071.00 / $1,476.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.14 / $960.57 / $3,242.16
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.14 / $960.57 / $3,242.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,121.00 / $9,270.00 / $17,192.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.98 / $907.97 / $1,465.65