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Virginia rates for HCPCS 41250

Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $660.69 / $7,079.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,570.40 / $2,951.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $457.09 / $616.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $398.11 / $676.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $288.40 / $398.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $275.42 / $489.78
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $186.21 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $812.83 / $2,398.83