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Virginia rates for HCPCS 38200

Injection Procedure Splenoportograpy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.85 / $3,633.00 / $8,920.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.35 / $129.19 / $158.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.40 / $150.13 / $236.21
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.99 / $145.99 / $690.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.13 / $147.13 / $147.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.77 / $178.28 / $291.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.90 / $143.16 / $172.27
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.52 / $180.98 / $276.06
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $196.00 / $274.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.51 / $184.89 / $320.35
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.51 / $184.89 / $320.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $1,148.00 / $2,364.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.74 / $176.50 / $284.73