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Virginia rates for HCPCS 28264

Capsulotomy Midtarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$864.37 / $2,190.00 / $8,294.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.00 / $420.00 / $1,174.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.53 / $1,091.24 / $1,289.29
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.65 / $1,113.39 / $1,615.27
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.10 / $916.99 / $3,353.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,423.00 / $11,074.00 / $21,639.00