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Virginia rates for HCPCS 42890

Limited Pharyngectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,682.63 / $5,480.00 / $14,798.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.00 / $1,584.80 / $3,282.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,316.74 / $1,626.57 / $2,387.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,322.96 / $1,790.70 / $2,638.52
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,272.73 / $1,757.07 / $3,325.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,745.00 / $10,466.00 / $21,401.00