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Virginia rates for HCPCS 42953

Pharyngoesophageal Repair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,092.22 / $4,771.00 / $9,539.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,960.66 / $9,475.45 / $13,263.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $610.00 / $1,070.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.97 / $1,121.03 / $1,658.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$922.91 / $1,268.80 / $1,922.28
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$920.11 / $1,237.63 / $2,173.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.00 / $2,397.00 / $5,202.00