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Virginia rates for HCPCS 27884

Amputation, leg, through tibia and fibula; secondary closure or scar revision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,005.32 / $5,087.00 / $8,920.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $640.00 / $655.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.83 / $699.94 / $824.90
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.83 / $749.64 / $1,094.11
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.85 / $744.04 / $2,496.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,651.00 / $6,870.00 / $12,739.00