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Virginia rates for HCPCS 42120

Resection of palate or extensive resection of lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $3,715.35 / $9,772.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $7,413.10 / $9,332.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $2,951.21 / $3,890.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,071.52 / $1,778.28
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $870.96 / $1,479.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,258.93 / $1,949.84
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,174.90 / $3,890.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $6,025.60 / $13,803.84