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Virginia rates for HCPCS 39501

Repair, laceration of diaphragm, any approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$961.54 / $4,771.00 / $9,539.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,162.00 / $17,132.29 / $23,861.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.23 / $959.08 / $1,182.85
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$924.23 / $1,136.36 / $1,633.54
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$834.56 / $1,122.67 / $2,149.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00