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Virginia rates for HCPCS 28262

Capsul Midfoot W/Pst Talotibl Capsul&Tdn Lngth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,467.03 / $4,196.00 / $8,920.00
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 / $1,899.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,315.43 / $1,684.58 / $1,990.87
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.15 / $1,656.45 / $2,532.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,063.33 / $1,448.57 / $3,512.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,651.00 / $6,870.00 / $12,739.00