go back

Virginia rates for HCPCS 28114

Ostc Compl All Metar Heads W/Prtl Prox Phalangc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.78 / $3,991.00 / $8,294.00
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 / $1,427.58
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$142.76 / $142.76 / $142.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.81 / $1,306.66 / $1,544.23
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$921.15 / $1,247.27 / $1,894.12
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$162.82 / $207.96 / $368.13
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.36 / $1,067.66 / $3,512.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,651.00 / $6,870.00 / $12,739.00