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Virginia rates for HCPCS 28288

Ostc Prtl Exostc/Condylc Metar Head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$689.34 / $4,347.00 / $8,920.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.11 / $594.82 / $983.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.23 / $519.15 / $858.31
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.34 / $512.46 / $3,714.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $640.00 / $739.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.91 / $639.20 / $1,169.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.96 / $735.66 / $869.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.31 / $675.36 / $1,048.22
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.00 / $829.32 / $1,137.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.27 / $554.13 / $1,888.74
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.93 / $744.85 / $2,663.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,651.00 / $6,870.00 / $12,739.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.03 / $669.47 / $1,153.46