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Virginia rates for HCPCS 40654

Rpr Lip Fth Over One-Half Vert Height/Complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.85 / $3,991.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.89 / $568.85 / $855.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.79 / $587.78 / $871.54
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.97 / $463.64 / $2,413.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$722.07 / $722.07 / $722.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.23 / $628.01 / $1,066.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.69 / $692.38 / $824.26
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.48 / $615.54 / $860.75
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.00 / $816.00 / $1,132.41
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.42 / $569.72 / $3,123.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.54 / $748.06 / $3,123.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,629.00 / $2,819.00 / $5,764.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.33 / $622.16 / $1,032.58