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Virginia rates for HCPCS 28576

Prq Skel Fixj Talotarsal Jt Dislc W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.84 / $5,048.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.35 / $412.24 / $592.64
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
$359.57 / $470.03 / $777.10
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.59 / $472.00 / $910.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.96 / $451.96 / $640.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.08 / $501.33 / $846.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.44 / $492.42 / $581.95
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.98 / $507.79 / $771.75
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.00 / $537.77 / $778.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.38 / $484.62 / $1,770.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.51 / $498.08 / $1,770.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,651.00 / $6,556.00 / $12,739.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.89 / $459.30 / $725.29