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Virginia rates for HCPCS 33017

Perq Prcrd Drg 6yr+ W/O Congenital Car Anomaly

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.95 / $8,920.00 / $18,862.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,207.43 / $4,561.59 / $6,353.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.89 / $271.07 / $334.32
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.06 / $317.55 / $496.54
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.55 / $330.84 / $3,658.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00