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Virginia rates for HCPCS 40842

Vestibuloplasty; posterior, unilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.55 / $870.82 / $1,127.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.50 / $925.98 / $1,341.55
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.38 / $1,064.28 / $5,895.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.71 / $980.49 / $1,846.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.19 / $947.03 / $1,168.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.60 / $1,153.00 / $1,732.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.15 / $1,112.08 / $4,277.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.20 / $1,077.76 / $1,789.68