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Virginia rates for HCPCS 38242

Allogeneic lymphocyte infusions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.90 / $135.62 / $392.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.77 / $169.55 / $177.29
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.79 / $147.94 / $221.55
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.31 / $285.81 / $9,929.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,911.00 / $3,175.00 / $5,340.00