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Virginia rates for HCPCS 30560

Lysis Intranasal Synechia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.11 / $3,428.50 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.15 / $261.88 / $488.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.00 / $2,390.00 / $2,954.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.75 / $179.99 / $246.85
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.90 / $245.74 / $3,426.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.07 / $297.31 / $538.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.47 / $358.16 / $445.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.01 / $311.27 / $506.66
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.00 / $374.00 / $602.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.41 / $183.90 / $819.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.24 / $376.21 / $982.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $1,045.00 / $2,364.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.79 / $342.85 / $624.41