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Virginia rates for HCPCS 38240

Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor

Facilitymedian $4,786 · 10th–90th $240–$13,4900%5%10%10th90th$4,786Professionalmedian $219 · 10th–90th $178–$5500%20%40%10th90th$219$100.0$500.0$2.0K$10.0K$50.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $5,888.44 / $10,964.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $22,387.21 / $38,018.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $239.88 / $602.56
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $213.80 / $549.54
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $251.19 / $436.52
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $295.12 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $10,471.29 / $21,877.62