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Virginia rates for HCPCS 29804

Arthroscopy Temporomandibular Joint Surgical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,244.00 / $5,091.00 / $9,539.00
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 / $671.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.84 / $733.24 / $853.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.33 / $843.20 / $1,283.19
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.20 / $804.98 / $2,692.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,121.00 / $9,270.00 / $17,192.00