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Virginia rates for HCPCS 39503

Rpr Neonatal Diphrg Hernia W/Wo Chest Tube Insj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,633.00 / $6,759.77 / $14,187.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,467.03 / $6,613.66 / $8,468.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,162.00 / $17,132.29 / $23,861.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,255.27 / $6,720.30 / $9,216.89
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,274.11 / $7,597.52 / $13,227.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,450.76 / $7,807.59 / $15,077.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,317.82 / $6,381.38 / $7,870.37
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,107.79 / $7,678.45 / $11,043.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,280.00 / $8,259.00 / $13,106.18
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,816.65 / $7,379.21 / $12,782.10
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,816.65 / $7,379.21 / $12,782.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,909.76 / $8,002.33 / $13,049.43