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Virginia rates for HCPCS 35697

Rimpltj Visc Art Infrarnl Aortic Prosth Ea Art

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.61 / $4,771.00 / $9,539.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,480.37 / $9,394.00 / $12,872.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.57 / $159.08 / $196.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.86 / $202.85 / $295.19
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.16 / $202.98 / $3,658.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00