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Virginia rates for HCPCS 24920

Amputation, arm through humerus; open, circular (guillotine)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$826.26 / $4,771.00 / $9,539.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.09 / $770.87 / $978.10
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
$683.10 / $876.00 / $1,448.29
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.11 / $874.11 / $17,559.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $640.00 / $836.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.64 / $939.58 / $1,606.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.57 / $904.41 / $1,068.18
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.08 / $966.72 / $1,383.55
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.34 / $1,015.00 / $1,368.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$708.49 / $913.88 / $3,442.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.49 / $913.88 / $3,442.00
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
$565.04 / $913.59 / $1,409.39