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Virginia rates for HCPCS 42210

Palatop Clsr Alveolar Ridge Grf Alveolar Ridge

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,876.82 / $5,048.00 / $11,025.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.36 / $1,240.30 / $1,567.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.20 / $1,269.78 / $1,804.48
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.65 / $1,175.68 / $2,600.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.00 / $1,210.81 / $3,282.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.80 / $1,348.77 / $2,263.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,009.17 / $1,246.61 / $1,800.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.08 / $1,409.60 / $2,137.57
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.00 / $1,498.00 / $2,452.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,081.06 / $1,338.52 / $2,515.56
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,081.06 / $1,338.52 / $2,515.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,745.00 / $10,466.00 / $21,401.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.79 / $1,280.43 / $2,040.08