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Virginia rates for HCPCS 41005

Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, superficial

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $208.93 / $398.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $218.78 / $380.19
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $125.89 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $218.78 / $407.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $281.84 / $575.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $223.87 / $338.84
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $354.81
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $269.15 / $870.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $194.98 / $354.81