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Virginia rates for HCPCS 24301

Muscle or tendon transfer, any type, upper arm or elbow, single (excluding 24320-24331)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.94 / $5,360.00 / $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
$776.00 / $776.00 / $855.93
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$85.08 / $85.08 / $85.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.95 / $925.38 / $1,092.33
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.56 / $993.14 / $1,448.50
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$128.43 / $151.47 / $272.26
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.62 / $957.53 / $3,265.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,121.00 / $9,270.00 / $17,192.00