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Virginia rates for HCPCS 49540

Repair lumbar hernia

Facilitymedian $1,175 · 10th–90th $692–$8,3180%5%10%10th90th$1,175Professionalmedian $851 · 10th–90th $617–$1,1480%10%20%10th90th$851$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $3,630.78 / $8,317.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $11,220.18 / $12,302.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $2,884.03 / $3,235.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $741.31 / $1,230.27
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $912.01 / $1,148.15
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $891.25 / $1,348.96
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $812.83 / $2,884.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $7,943.28 / $16,982.44