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Virginia rates for HCPCS 43240

Egd Transoral Transmural Drainage Pseudocyst

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$787.32 / $3,226.00 / $8,294.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $802.00 / $4,835.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.32 / $446.00 / $668.52
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.68 / $515.67 / $785.37
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.10 / $506.37 / $914.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.00 / $5,815.00 / $12,680.00