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Virginia rates for HCPCS 33883

Plmt Prox Xtn Prosth Evasc Rpr Dta 1st Xtn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,260.61 / $4,771.00 / $9,539.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,900.00 / $13,875.00 / $15,752.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,009.95 / $1,211.94 / $1,494.73
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,234.96 / $1,530.08 / $2,223.27
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,080.73 / $1,492.35 / $4,462.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00