go back

Virginia rates for HCPCS 23921

Disrtcj Shoulder Secondary Clsr/Scar Revision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.07 / $5,087.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.26 / $501.38 / $658.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.50 / $568.66 / $940.18
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.92 / $521.92 / $1,017.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.35 / $542.35 / $640.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.80 / $567.00 / $1,026.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.80 / $589.91 / $697.16
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.80 / $596.64 / $886.94
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.00 / $624.00 / $926.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.09 / $581.66 / $1,683.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.09 / $581.66 / $1,683.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,713.00 / $3,175.00 / $5,340.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.30 / $562.12 / $916.26