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Virginia rates for HCPCS 23900

Interthoracoscapular amputation (forequarter)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,561.11 / $4,771.00 / $9,539.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.28 / $1,436.27 / $1,842.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,142.00 / $37,782.72 / $52,623.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,281.24 / $1,638.42 / $2,708.79
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,633.04 / $1,633.04 / $17,559.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $640.00 / $1,568.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.99 / $1,748.94 / $3,043.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.04 / $1,687.09 / $1,984.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,435.55 / $1,824.14 / $2,688.84
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,732.00 / $1,949.00 / $2,686.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,323.34 / $1,727.35 / $5,924.94
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,323.34 / $1,727.35 / $5,924.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,408.00 / $13,296.00 / $26,537.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,070.08 / $1,646.27 / $2,657.41