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Virginia rates for HCPCS 24164

Removal of prosthesis, includes debridement and synovectomy when performed; radial head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $5,011.87 / $8,317.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $6,760.83 / $7,413.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $831.76 / $977.24
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $831.76 / $1,659.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $851.14 / $1,348.96
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $831.76 / $7,413.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $9,549.93 / $19,054.61